16. State school or college where educated. At what age did you leave School?

17. Particulars of any other Training, stating Certificates held.

18. (a) Name and Address of your present employer (see Note on other side).
N.B.--(The employer will not be referred to unless he is given as a
reference under paragraph 20 below.)
(b) Nature of his business.
(c) Capacity in which you are employed.

(d) Length of your service with him.

(e) Salary which you are now receiving.

19. Previous business experience (if any) giving dates, salaries received, and names of Employers.

20. Give below for purposes of reference the names of two or more British householders with their permanent addresses, one of whom should be, if possible, your present or previous Employer, a Teacher, a Town Councillor, Mayor or Provost, Justice of Peace, Minister of Religion, Doctor or Solicitor, who has known you for two or more years, but is not related to you. One of the references must be a woman.

(a) Name.
Profession or Occupation.
Address.
(b) Name.
Profession or Occupation.
Address.
(c) Name.
Profession or Occupation.
Address.

An offer of Service can in no way be regarded as a final enrolment.

I hereby declare that the above statements are complete and correct to the best of my knowledge and belief.