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The Cyprus Gazette

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154 THE CYPRUS GAZETTE (EXTRAORDINARY), 6TH MARCTI, 1936.<br />

lo rm.- ,. .. ... * permanent registration and hcenoe<br />

18. This apphcation is for ^ — . .. 7: .^^ ^r<br />

'^'^ • provisional hcence for a penoa ot<br />

to teach the following subjects<br />

in the following t^-pes of secondary school.<br />

19. Give the names and addresses of two or more responsible persons now in <strong>Cyprus</strong> who are willing totestify<br />

from personal knowledge to your moral character and abiUty as a teacher.<br />

(i)<br />

(ii)<br />

20. Declaration to be signed by the appUcant.<br />

I declare that the information given in this form is true and complete.<br />

(Signed)<br />

(Place and date)<br />

21. Certificate to be signed by a Government Medical Officer.<br />

I of<br />

having examined the appUcant (name)<br />

on (date) certify that he is in my opinion physically sound and fit for<br />

employment a.s a teacher in secondary schools.<br />

(Signed)<br />

(Rank or Office)<br />

(Place and date)<br />

Note.—(a) If the Government Medical Officer who examines the appUcant is unwilUng for any reason to<br />

sign the above certificate, he should attach a letter addressed to the Director of Education<br />

explaining the circumstances ; he may if he prefers state the circumstances in a confidential<br />

letter to be sent direct to the Director of Education.<br />

(b) AppUcants are not entitled to free medical examination by Govemment Medical Officers for<br />

the purpose of obtaining this certificate.<br />

22. Report of Commissioner.<br />

* Strike out the words which do not apply.<br />

SEVENTH SCHEDULE.<br />

THE SECONDARY EDUCATION REGULATIONS, 1936.<br />

(Regulation 9.)<br />

LICENCE TO TEACH IN A SECONDARY SCHOOL.<br />

This is to certify that :—<br />

(name) :<br />

(address) :<br />

has been registered as a Secondary School Teacher under the provisions of the Secondary Education<br />

Laws. 1935 and 1936, and Ucensed to teach (subjects)<br />

in (schools)<br />

ΚΥΠΡΙΑΚΗ ΔΗΜΟΚΡΑΤΙΑ<br />

Nicosia,<br />

(*«*) Director of Education.

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