21. Mother's Nationality at Birth.
22. Father's Profession.
23. Religion.
24. (a) If you volunteer for nursing duties state what experience you have had in wards.
(b) Name and address of hospital.
(c) Date.
25. Certificates held.
26. (a) Nursing. (f) Motor Driver.
(b) Kitchen. (g) Laboratory Attendant.
(c) Clerical. (h) X-Ray Attendant.
(d) Storekeeping. (i) House Work.
(e) Dispenser. (j) Pantry Work.
27. State what experience and qualifications you have had for Categories in No. 26.
28. Have you been inoculated against Enteric Fever? If so, what date?
If not, are you willing to be?
Have you been vaccinated?
It so, what date?
If not, are you willing to be?
29. Your usual Occupation or Profession?
Your present Occupation or Profession?
30. Give the Names and Addresses of two British Householders with permanent addresses in the British Isles who have known applicant for two or more years, but are not related to applicant, to act as References, having previously obtained their permission to use their names.