Report of the Royal Commission on the practice of subjecting live animals to experiments for scientific purposes : with minutes and evidence and appendix / presented to both Houses of Parliament by command of her Majesty.

  • Great Britain. Royal Commission on Vivisection (1875)
Date:
1876
Catalogue details

Licence: Public Domain Mark

Credit: Report of the Royal Commission on the practice of subjecting live animals to experiments for scientific purposes : with minutes and evidence and appendix / presented to both Houses of Parliament by command of her Majesty. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

    1042/1052 (page 612)
    APPENDIX. No 1. JV.jB.—This Paper to be filled in (in the Candidate's own handwriting), and sent to Mrs. Wardroper, St. Thomas's Hospital, Westminster Bridge, London, S.E. QUESTIONS TO BE ANSWERED BY CANDIDATE. Name in full and present address of \ Candidate - - - - - j Are you a single woman or widow* ? The Mcrriage Certificate vrdl he required. Your present occupation or employ-1 ment ; also if a widow, the former occupation of your husband ? -j Age last birthday, and date and] place of birth - - - -/ Heio-ht >. ■1. 0. Where educated ? - 7. Of what religious denomination ?. Name and Address of Clergyman l or Minister who knows you - [ •S. Can you read and write well ? 'J. Are you strong and healthy { and ] have you always been so ? - -| If a widow, have you childien ? \ Kow many ? Their ages ? How l are they provided for ? - - j Where (if any) was your lasti situation ? How long were you I in it - - - - - - [ What is the address and occupation-! of your father, or, if not living,'. your mother ? - - - _J The names in full, and addresses of two persons to be referred to. State how long each has known yor. If previously employed, one of these must be the last em] loyer _ - - _ _ Weio-ht ? 10. 11. 12. 13. 14. 1.5. Name and address of your usual 1 Medical Attendant - - -/ Have you read, and do you clearly ( understand the Reg-ulations ? - I has knoAvn me years. has known me years. I declare the above statements to be correct. Date Signed- Candidate,