104 results filtered with: Forms (Documents)
- Books
Rubberstuffers : volunteer information and application form / RS Health Ltd.
RS Health.Date: [between 1990 and 1999]
- Ephemera
- Online
Making him a better dog... / Spillers Victoria Foods Ltd.
Spillers Limited.Date: [1926]
- Ephemera
- Online
Bulk buy leaflet / National AIDS Trust.
Date: 1995- Ephemera
Anti-snakebite serum : it would be appreciated if this form could be completed and returned to the Institute in order that more exact information on the incidence of snakebite and the effect of serum treatment may be obtained / The South African Institute for Medical Research, Hospital Street, Johannesburg.
South African Institute for Medical ResearchDate: 1961
- Ephemera
- Online
Erhebungsbogen der Witwen- und Waisen-Pension aus der medicinischen Witwen- und Waisen-Societäts-Casse für ...
Universität Wien. Medizinische FakultätDate: [between 1850 and 1880?]- Ephemera
To the Churchwardens and overseers of the poor of the parish of ... in the county aforesaid : Whereas, sworn evidence has been given before me this day of the finding of the body of ... in the ... by ... I hereby certify that he is entitled to the sum of five shillings for the finding of such body ... Coroner for.
Date: 1890
- Ephemera
- Online
This policy of assurance witnesseth, that ... ha... paid to the Phoenix Assurance Company of London, the amount of premium and duty stated below as the present payment, and having agreed to pay, or cause to be paid to the said company on the day of expiration of this policy, for insurance from loss or damage by fire ...
Phoenix Assurance CompanyDate: 1864- Ephemera
Compulsory vaccination act. (16 and 17 Victoria, cap. 100.) : schedule A : medical certificate of successful vaccination : [to be delivered (pursuant to section IV.) to the father or mother of every child successfully vaccinated, or to the person having the care, nurture, or custody of such child].
Date: [between 1860 and 1869]
- Ephemera
- Online
Banker's order form / [London Lighthouse].
Date: [1991]- Books
Medical examination report : medical in confidence / Driver and Vehicle Licensing Agency.
Date: 2003- Ephemera
Materials order form / Jo's Cervical Cancer Trust.
Jo's Cervical Cancer Trust.Date: [2010?]- Books
General Penitentiary, Millbank. [Blank] has leave from [blank] o'clock until [blank] o'clock Dated this [blank] day of [blank] 182[blank]. Governor.
Millbank Prison (London, England)Date: [1820 or 1821?]
- Ephemera
- Online
We aim to counsel everyone within 24 hours and give positive reactions to requests for money from the Hardship Fund / The Terrence Higgins Trust.
Date: [1992]- Ephemera
The Vaccination Acts, 1867 to 1898, and the Vaccination Act, 1907. Form A, Notice of the requirement of vaccination : to the father, or mother, or other person having the custody of the child herein named.
Date: 1910- Ephemera
Surrey Dispensary 178... : Mrs... midwife to the lying-in department is required to attend the wife of... in the parish of... recommended by Mr... governor : regulations.
Surrey Dispensary.Date: [1780?]- Ephemera
Queries to be put (so far as may be considered necessary, or apply to the case) by the ordinary or occasional medical officer of the company, to applicants for insurance, remitted to him for examination / North British Insurance Company.
North British Insurance CompanyDate: [between 1830 and 1839?]
- Ephemera
- Online
Deed of covenant / London Lighthouse, a centre for people facing the challenge of AIDS.
Date: 1991- Ephemera
The Westminster Fire Office : 27, King Street, Covent Garden, London, W.C.2. : A.D. 1717 : this endorsement is to be attached to policy no. ... and is declared to be incorporated with and to form part thereof.
Westminster Fire Office.Date: 1928- Ephemera
Oversize ephemera. EPH+50.
- Ephemera
Sponsorship form / Jo's Cervical Cancer Trust.
Jo's Cervical Cancer Trust.Date: [2010?]- Ephemera
Drowned human bodies : received of the Churchwardens and overseers of the parish of Greenwich the sum of five shillings, for finding the body of ... floating in (on the foreshore of) the River Thames, within this parish : dated this ... day of ... 189.
Date: 1890- Ephemera
The Vaccination Acts, 1867 to 1898, and the Vaccination Act, 1907. Form A, Notice of the requirement of vaccination : to the parent or person having the custody of the child herein named.
Date: 1924
- Books
- Online
Forms for medical certificates of the cause of death under the Births and Deaths Registration Act, 1953 : prescribed by regulations made by the Registrar General with the approval of the Minister of Health under section 22 (1) of the Births and Deaths Registration Act, 1953 : these forms must be kept in safe custody, not to be used in cases of still-births (see page 1).
Great Britain. General Register OfficeDate: 1962- Ephemera
Nos seniores, consules et senatores liberae imperialis reipublicae Ulmensis, omnibus & singulia, ad quos praesentes pervenerint, intimamus, cum.
Date: 1721- Ephemera
This policy of insurance witnesseth, that in consideration of ... hereinafter called the Insured, paying to Westminster Fire Office (herinafter called the Company) the first period premium above mentioned for insuring against loss or damage by fire or lightning, the property hereinafter described ... / The Westminster Fire Office.
Westminster Fire Office.Date: 1918