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AF00106654 School file Dubbo 5-15725.5 - Flipbook - Page 5


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FORM to be filled up by TEACHERS Of proposed DENOMINATIONAL SCHOOLS.
1141•1111Ir
NAME,
IF
MARRIED.
AGE.
PLACE WHERE BORN.
RELIGIOUS
DENOMINATION.
WHERE TRAINED.
WHERE EMPLOYED AND DURING
WHAT LENGTH OF TIME, AS TEACHER,
IN THE COLONY.
LE'-e,>Z6
e?.„(
e et%
c",
/(e) E_a7r-4,
Signatures
4
,9
-4-Z
-" irtY.

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