Page images
PDF
EPUB

in case they have offspring; and that pains be taken without delay to collect the facts and fill out the record to the present time as completely as possible.

In behalf of the Committee,

SAMUEL PORTER, Chairman.

[The Blank Forms presented as a part of this Report are appended on the pages immediately following.]

FORMS FOR TABLES.

[graphic][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed]
[graphic]
[blocks in formation]

185, by

[blocks in formation]

No. of days absent.

Days out School

Days out work.

Days medical

treatment.

Ears.

Eyes.

Skin.

External glands

Conduct.

Steward.

REMARKS upon (1) Health; (2) Conduct, Offences, Punishments; (3) Absence; (4) Other matters.

Shop, for the Month of

185, by

Master.

[graphic][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed]

Example showing the manner of constructing and of filling out Register B.

JOHN SMITH.

« PreviousContinue »