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?