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vi Rank op Eof. dy ..tg Me dert WonLD WAn HI iDate listed i Date Discharge b Other countries Give dates of vialta places vieited and purpose f visite ...nbrc.ny...bar....n.ber..of..ran.tam.of.pyhiatrists Arm of Service.... ...ivNo.where applicable) A Theatres of Service: Canada vi Qversen 13a Have you ever been chsrged withs criminal offencel.. Ho i Rank on Enlistment viji) Rank on Discharge (b) Ii so were you called before a court ct Justice to anawer the charge agninst yon ix Appoiatments held or nature of dutio (e) What was the charget... (d What wsa the judgment in the case.. 14. (a) Have you ever been diamissed or forced to reaign from any positiont.... {1 Servico Schools or Coure.. (b) If ao, give detaily ... xi Medala or deoorations roceived 15.a Position or class of work applied for.... (C)Other Mlltary Eervice. (b) Date available for employment, if selected. .cSalary.xpeoted dWould you accept employment anywheret. ....(0) If not, state place(s) preferred. 16. Education From To Name af Inetitution Place Courne Degree or Diploma Elementsry Schoo...1908.. . ..1913.. .Stlrling..High..Sch...Scotland. (D) Were you honourably dischargod from (i) Service in World War I 6 1919 Secondary School.. Technical or.. 24. Where were you retideot at time of enlistment: (a) World Wor L Other Schoolevof.Glgow 1919-24B bWord War II... Univeraity..Uni..f.Iondon...92s.Diplona.n.Pyhol.Nod..Uniy..of.Glsgow..M.D..1936 25.Were you wounded on active servicet If so, stste nature of your injuriea Post Graduate.. 17. Scholarships won and distinctions swarded. a Are you now in receipt of disability pension by reaeon of service in Worid War I orII?. B1tfmor e, w) c Percentage of disability. 1936.M.D..with.diatinottonaogow.Unyerity... d Stste nature of dissbility.. 18. Reeearch (List problems investigated and givo nnmes of Supervisors and Ansociates) 27. Names and addressee of three 3 persons from whom reference can beobtsined respeotingexperience and sbility. ...Se..ttaohd.ourriowiw.l.t. n addition to character. Addresa Occupation Name Addrem Occupation Title Publication Date Volume No. N Name Addre Occupation ee.attached liet. 28. Employment Record (List Present Position First) Seg attached ourrioutn vitae. Place.... Exact title of your poaition.. 20. Any other occupationa or akill scquired through studies or practice (e.g.Photography, Aviation, Radio, Sketching, ete. From ...19 to.. Moath) 19 Salary Starting ........... Name of mployer: : .--Presant 21.What angusge(s) can you Speak Englith Read Epglish Write Eng Duties and responsibilitie: German Gamn Addrest.. Kind of business or organization: member): Sge attanhed ourrioulum vitae Number and clast of employees you supervised: Name and title of your immediate Supervisor: Machines and equipment you used 23.SERVICE IN THE ARMED FORCES (ii) Date Diecharged Reason for leaving (AWOaLD WAR I Date Enlisted... Arm of Service., ...(iv No. (where applicable)....