618753-1931-Regulations-under-section-4-of-the-Nurses-Registration-Ordinance-1931 — Page 15

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THE HONG KONG GOVERNMENT GAZETTE, MAY 22, 1931.

FORM III.

FORM OF TESTIMONIAL AS TO CHARACTER AND

PROFESSIONAL EFFICIENCY.

(To be given by a matron of a hospital, registered medical practitioner, or other respon- sible person under whom the applicant has worked during the three years prior to the date of the application.)

Confidential.

To the NURSING BOARD FOR THE COLONY OF HONG KONG.

I hereby certify that I have known.....

personally for....

years, and that she has discharged her professional duties at all times in such a manner as to enable me to recommend her for registration by the Board, and that she is of good moral character.

Signature.

Address

Professional Position

REMARKS.

Date....

(Note. This testimonial is to be sent to the Director of Medical and Sanitary Services.)

FORM IV (A).

NURSING BOARD FOR THE COLONY OF HONG KONG.

Nurses Registration Ordinance, 1931.

Application for Registration on the..

Part of the Register for

Nurses to be used

by Nurses Registered by the General Nursing Council for England and Wales, or for Scotland or by the Joint Nursing and Widwives Council of Northern Ireland or by the General Nursing Council of the Irish Free State to which Section 5 (1) of the Nurses Registration Ordinance, 1931, applies.

To the NURSING BOARD FOR THE COLONY OF HONG KONG.

Ι Ι

(Full Christian Name and Surname.)

(Place and date of birth.)

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