7. Give particulars of any physical impairment from which you may have suffered.
It is particularly import- ant that any nervous trouble such as neur- asthenia or an impedi.
ment in speech should be mentioned.
8. State here whether you Some malay,
possess special know-
ledge of any language
other than English.
9. Schools in
Huidustami, Sramese
order, Bishop Colton School, Simla E.
giving dates of entry and leaving
Mention any Examina. tions passed [e.g. Matriculation, School or Higher Certificate], any distinctions gamed in school work, games, school societies, etc., and positions of respon sibility held.
The Lawrence School, Ghora Gali,
huurses, dodia
& privately educated
From
Dates
To
|(Month & Year) | (Month & Year) March 1912
School
harch. Now, 1918
March 1916
No. 1915 Nov. 1918
Head Pry. Kawn.
Lese
Rev. G.T.H. Light wick
(Month & Year) (Month & Year)
Give the B.C.S. Head master: Rev. Hugh hu. Lewis
names of your Head or.
House masters.
10. University (or other
similar Institution).
State (4) any scholarships
held or prizes won
(b) subject or subjects read in degree or
diploma course
(c) athletic and other non-acadernic dis-
tinctions
(d) the name of your college Tutor, or of
the Professor
or
Lecturer who knew you best,
11. Degree, Diploma, or
Professional Qualifica- tions and the date at which each obtained.
was
The result or class obtain-
ed in each part of your course must be clearly shown here. If not completed at the time of application, give par- ticulars and date of final examination.
12. Civil employment
or
ds.
(Month & Year) (Month & Year)
occupation, up to the St. Staff: "Pisang Gazette" [1920=1928
present time.
[Any period spent under
articles should included.]
be
Mention in chronological order each position held by you, the dates be- tween which you held it, and the
cause of
leaving; also any dates between which you were not employed. The name of each employer should be stated here, and his address should also be given, unless it is stated
in Section 15.
State present employinent and salary you are now receiving.
Bangkok Thies"
1528. 1935
Chain Mail
15.2.
7.S.R. Dept, Butt a protel Serie
Feb.
1937-
Oct 1939
1935-1937
13. Navy, Army, or Air Force service, if any. Rank held and any decorations,
in
mentions etc.,
despatches, obtained.
The names (with initials,
rank, and Regiment) of the senior officers under whom you served in H.M.'s Forces, and the period of your service under each officer, should be stated in Section 15 (b).
(If you were of military age, but did not hold commissioned rank or were exempted from military service during the Great War, you should submit your dis- charge or exemption papers for inspection.)
14. Personal References.
Give the
names and addresses of two
referees. They should be responsible persona who know you well, either
private life. or in business; and
הן
one at least should be well acquainted with you in private life. The names of relatives must not be given, nor those of distinguished persons unless they know you well. Testimonials from your personal referees should not be sent.
W.H. Lock fry
1. Name
Address
Occupation
|(Month & Year) (Month & Year)
17
ham To Butter fueled Susie
Manage
Period during which
he has known you
1938. 39
12. Name A.1. Wynne-Jones Bonn
Address
SPO.
Occupation Postmorte. General
} 1937-39
Period during which
he has known you
15. (a) Testimonials. (Please read carefully.)
The Colonial Secretary will not be able to consider a candidate unless, so far as possible, every stage of his career (including s education) is covered. You should therefore either submit testimonials with your application or arrange for testimonials to be sunt direct to the Colonial Secretary: -
(a) The testimonials which you submit yourself should not exceed six in number, unless more are necessary to cover every stage of your career. They should all be sent in together unless undue delay would result. The originals and one copy of each should be enclosed; the former will be returned after inspection. Copies should preferably be on foolscap paper, and may be in MS., in print, or typewritten. If, for any reason, you experience difficulty in obtaining a testimonial to cover a particular period of your career, you should state the reason in writing. In this case the name and last known address of someone who would be in a position to report on your character and conduct during the period in question should be given.
(b) Where either you, or the writer of a testimonial, prefer that he should send it direct to the Colonial Secretary, you should state hereon that he is doing so and for what period he will speak. The contents of reports or testimonials received by the Colonial Secretary direct can in no case be communicated to you at any time.
You should state, in the space below, the name, address, and occupation of the writer of each of your
testimonials, the period of your career for which he can speak, and the capacity in which he speaks.
W. H. hundie Bay
"The Bangkok Times" Genglert.
-
C.G. Burnett Bom
The China hail
không không
1528-337
1931737
A. R. Masson Borry I Butterfield Suvine
'Ws. I. Lock Sm)
1537-39
[TURN OVER.]
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