7
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 possess special know- ledge of any language other than English.
9. Schools in
nove
no.
order, King James I Grammor :chool.
giving dates of entry
and leaving
Mention
any Examina-
Bishop Auckland to Durham, Eng
tions passed Leg. London matriculation
Matriculation, School or
Higher Certificate), any
Dates
From
To
|(Month & Year)|(Month & Year)
Sept 1902
distinctions guined in 2nd Class College of Preceptors
school work, games, school societies, etc., and positions of respon- sibility held. Give the names of your Head or House masters.
10. University (or other State (a) any scholarships
similar Institution).
won
(b) subject or subjects
read in degree or diploma course
(c) athletic and other
non-acadernic tinctions
i
Sunderland Training College for Teachers
July 1908
(Month & Year) (Month & Year)
1912
Oct 1910 July 191
Guy's Hospital London Oct 1919 Nov !82!
the Northwestern Uncorosity
(d) the name of your
college Tutor, or of
the Professor or Lecturer who knew you best.
Chicago. U.S.A.
July 1930 Sept 1931.
11. Degree; ni cualificar Board of Education Trained Teachershertificabl
Professional
tions and the date
at which each was obtained.
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
(English Board) 1912. L.D.S.R.C.S. Eng 1921.
D.D.S. (Northwestern Univerzity Chicago
occupation, up to the Teaching
Guy's Roditel
[Any period spent under articles should be included.]
Mention in chronological order each position held by you, the dates be- tween which you held leaving; also any dates
it, and the cause of
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.
Travelling back to 8. Rhodend i
1931
(Month & Year) (Month & Year)
Aug 1912 Sept 1918.
ra19
nov 1921.
Dentistry (private practice) nov 1921 Feb 1930. Travelling from S. Rhodesia toll A Jeb 1930
July 1936. American University July
University July 1930 Sent 1931 resume my powole Trading Sept 1931 Feb 1932. From Rhodened to tongkons Job 1932 Dec 1932, In private practial Kowloon Dec 1932 to date.
H.K
net average flost
4 years £1000 per annum
Դ
so cighly
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