Showing 14242 items
matching will form
-
Ballarat Tramway Museum
Certificate, City of Ballaarat, "Public Inoculation Depot / Pneumonic Influenza", 1919
Certificate contained within Reg. Item 2526, page 8 titled "Public Inoculation Depot / Pneumonic Influenza". Printed form on paper with perforated left hand edge, to record the H.P. James of ESCo had received the two injections for the Spanish Influenza outbreak of 1919. Formed signed by Geo. F. Morton as Acting Town Clerk. Has been stamped that the second injection had been received. The required date for the 2nd injection was 4/2/1919. H.P. James refers to the outbreak in the item on the retirement of Bob Haines (Reg. Item 2529), and notes he was the "Dispenser-Inspector" of two quinine powders to each man and that they had to wear gauze masks. S Note Item Not formally Numbered. A photocopy of the manuscript is held with the work sheet.Has stamped number '136' on form.tramways, trams, esco, tram crews, personnel, influenza -
Queenscliffe Maritime Museum
Document - Form, Boat Station List
The Court of Marine Inquiry found that the steering gear had failed as the SS Time entered Port Phillip Heads. It was established that the fault lay with the Lloyd's surveyor for not detecting the fault when the Time had been classified Al. No blame was attached to the master. Two Queenscliff fishermen purchased weck for 950 pounds (insured value 30,000 pounds)and its timber cargo - handsome profit. Cargo and most fittings of value recovered. Wreck visible until early 1960s, until during a storm it slid off northern side of Nepean reef and broke up in 20 feet of water. The most noteworthy shipwreck to date at the heads.Two Queenscliff fishermen purchased the weck for 950 pounds (insured value 30,000 pounds) and its timber cargo - handsome profit. The cargo and most of the fittings of value were recovered. The wreck was visible until the early 1960s, until during a storm, it slid off the northern side of Nepean Reef and broke up in 20 feet of water. The most noteworthy shipwreck to date at the heads.A Commonwealth of Australia Navigation Act, Boat Station List form, showing the names of crew assigned to each of 4 lifeboats on the Port [P] and Starboard [S] sides of the SS Time dated 1 August 1949.Form C.B.D.F 3 for 4 lifeboats; Boat Station List navigation act, ss time, port phillip, shipwrecks, lifeboat rules -
Tatura Irrigation & Wartime Camps Museum
Folder, 1940s
Forms regarding Joachim Stahr, an internee aboard the Dunera.Documents contained in folder marked "S" in sheet protectors. Contains: Form of Application for Residence Order for Detention of Enemy Alien Report on Internees Internees - Service and Casualty Form Medical Examination Mobilisation Attestation Form Service and Casualty Form Employment Company Form Determination of Demobilisation Priority Application for Admission of Relative or Friend to Australia Report on Internee Internee - Service and Casualty Form Email correspondencejoachim stahr, dunera, ww2 internee -
Kiewa Valley Historical Society
Book - Teacher Reference, Encore! Ten Short Modern Short Plays Selected by H. G. Fowler, 1962
Students in Form 4 were encouraged and taught to perform plays during the 1960s.G. Davies grew up in the Kiewa Valley at Tawonga and attended Mt Beauty Secondary College. Red soft covered book with black and white picture of girl (black) taking a bow and black writing on front and on the spine. The title is in red on white background.'G. Davies Form 4' on first page.school, education, drama, g. davies, tawonga, plays -
Greensborough Historical Society
Book - Exercise Book, [Exercise book], 1950s
A Form 2 arithmetic exercise book, showing calculations and methods used by this student.An example of mid 20th century school workStudent's exercise book, 32 p. (approx.). Handwritten arithmetic exercises inside. Front cover has photograph of Queen Elizabeth II.Student's name, Grade: Form 2A. School: .school books, exercise books, arithmetic -
Phillip Island and District Historical Society Inc.
Document, Francis Joseph Dominick WW1 Enlistment and death documents
Francis was known as Joseph and his name is on the Cowes war memorial. The Dominick family had 40 acres on the Nobbies Road, next to the Smiths. He enlisted in South Melbourne on 27/10/1916 and was killed in action on 4 October 1917 in Belgium.Historical2 photocopied WW1 documents. One is his enlistment form and the other is a report of death in action.Australian Imperial Force Attestation Paper of Persons Enlisted for Service Abroad. Field Service Army Form B 20290Aworld war 1, joseph dominick, military, dominick family -
Stawell Historical Society Inc
Photograph, Stawell High School Students 1967
6975-10 Stawell High School Form 2B 1967 Teacher Mr Mackay Students in uniform with Teacher in front of Main High school buildingStawell High School Form 2B 1967education -
Melbourne Tram Museum
Administrative record - Form, Hawthorn Tramways Trust (HTT), "Car Inspection Record - Bodies", c1920
Hawthorn Tramways Trust form No. 91, recording the inspection, and repair work needed on the body of tramcars. Has been marked up in pencil for changes to the layout, possibly at the time of the takeover of the Trust by the MMTB and the formation of the Eastern System. Notes 800 wanted.Demonstrates an HTT tramcar maintenance form.Printed form on green card - form No. 91tramways, htt, forms, tramcar maintenance, tramcar inspection -
Williamstown High School
Form Captain badge 1930s
Round metal badge with Red, yellow and black enameled decoration on the front and a hook clasp on the back, presented to form captains at Williamstown High School in the 1930s. This badge worn by Peg Bonwick (nee Clark).On front 'Form Captain' Makers mark on mark: K.C. Lunes Melbwilliamstown high school, 1930s, form captain, badge, peg bonwick, peg clark -
Melbourne Tram Museum
Administrative record, Victorian Railways (VR), VR Black Rock - Beaumaris Motor Coach Pay In Slip, c1970
Form used to record ticket revenue, passengers, trips, and pay in details and general information for the Victorian Railways Sandringham - Black Rock - Beaumaris Motor Coach service. Values in decimal currency. Used at the Sandringham Depot.Demonstrates a Victorian Railways Pay-In or Revenue Journal for a tram replacement bus.Form printed on special size paper - form MT32vr buses, victorian railways, buses, forms, pay-in, revenue journal, sandringham depot, sandringham to black rock -
University of Melbourne, Burnley Campus Archives
Document - Forms, Competition, Plant Competition Forms
A batch of seven forms: five are headed "The Royal Horticultural Society", of these five, three were prepared for the Wisley Trials. Specifically they are: 1. Royal Horticultural Society - Wisley Trials - Dahlia 2. "" "" - Hardy Border Carnations 3. "" "" - Joint Sweet Pea Committee 4. (Also a detailed form concerning sweet pea plants) 5. The Royal Horticultural Society - Invited Vegetable Trail 6. (And a form for competition use on Cabbage, Savoy) 7. The Royal Horticultural Society - Flower Trial. Plant competition formsstudents, competitions, wisley trials, royal horticultural society, national dahlia society, burnley gardens, burnley gardens competitions -
The Beechworth Burke Museum
Photograph, c1940s
The Bowmans Forest Fire Brigade was formed in 1906. It is one of the oldest continuous existing fire brigades in Victoria. It has an original “Fire Cart” made that year which is still in working order.Black and white rectangular photograph printed on matte photographic paperPictured: Bowmans Forest / Formed 1906emergency services, fire brigade, bowmans firest, 1906, burke museum, firemen, fire, country -
Melbourne Tram Museum
Administrative record - Form, Hawthorn Tramways Trust (HTT), "Car Oiling Record", c1920
Hawthorn Tramways Trust form No. 82, recording the oiling of the various components of tramcars over 28 day period. Has been marked up in pencil for changes to the layout, at the time of the takeover of the Trust by the MMTB and the formation of the Eastern System. Demonstrates an HTT tramcar maintenance form.Printed form on off white card - form No. 82tramways, htt, forms, tramcar maintenance, tramcar inspection -
Stawell Historical Society Inc
Book, Helen Curkpatrick, Stawell High School 1964 – Form 1 1964 to Form 6 1969 Reunion 2004, 2004
Book compiled for Student Reunion 2004 Form 1 1964 - Form 6 1969 GroupClear Plastic cover over card with a b/w picture of Stawell High School.Stawell High School Form 1 1964 to Form 6 1969 Group. Stawell High School Reunion. Reunion held Saturday 28 and Sunday 29 August 2004stawell education -
Stawell Historical Society Inc
Photograph, Stawell High School Students From 6 1976
6975-38 Stawell High School Form 6, 1976 Form Teacher Mr Evenden Back Row, Trevor Troutbeck, Malcolm McClure, Stuart McClure, Darryl Nielson, Neville Moller, Michael Glisson, Front Row, Julie Ross, Pam Guy, Debbie Giles, Mr Evenden, Aileen Browne, Wendy Blake. Kathy. Sluga. Absent. Gayle Redford, Lynne Bonney, Poppy Mangana. Students and Teacher Class Photo beside high School wingsStawell High School 1976 Form 6education -
Greensborough Historical Society
Book - Exercise Book, Embassy exercise book, 1950s
A Form 1 arithmetic exercise book, showing calculations and methods used by this student.An example of mid 20th century school workStudent's exercise book, 24 p. (approx.). Handwritten arithmetic exercises inside. Back cover missing. Front cover had photograph of Queen Elizabeth II.Subject: Arithmetic. Student's name, Grade: Form 1A.school books, exercise books, arithmetic -
Melbourne Tram Museum
Administrative record - Form, Hawthorn Tramways Trust (HTT), "Car Inspection record - electrical", c1920
Hawthorn Tramways Trust form No. 89, recording the inspection of the various electrical components of tramcars. The three cards have been marked up in pencil for changes to the layout, at the time of the takeover of the Trust by the MMTB and the formation of the Eastern System. Demonstrates an HTT tramcar maintenance form.Printed form on blue card - form No. 89 - set of 3tramways, htt, forms, tramcar maintenance, tramcar inspection -
Melbourne Tram Museum
Administrative record - Form, Hawthorn Tramways Trust (HTT), "Oilers report card", c1919
Hawthorn Tramways Trust form No. 150, recording the oiling of tramcars. Printed for cars 1 to 32 with items to be oiled listed. Has been marked up in pencil for changes to the layout, possibly at the time of the takeover of the Trust by the MMTB and the formation of the Eastern System. Has a space for remarks on the rear.Demonstrates an HTT tramcar maintenance form.Printed form on light yellow card - form No. 150tramways, htt, forms, tramcar maintenance, oiling, tramcar inspection -
Melbourne Legacy
Document, Interview / Report Form, 2000s
Multiple copies of Interview Forms used by Legatees when recording their interactions with Widows and families. Carbon copy forms were common in business for many years. The forms were used up until about 2018.A record of the way Legatees recorded their voluntary work.Interview forms in triplicate copies - white, blue and green.widows, legatees -
Melbourne Tram Museum
Administrative record - Form, Hawthorn Tramways Trust (HTT), "Pitmans report card", c1919
Hawthorn Tramways Trust form No. 199, recording the inspection, greasing and brake equipment of tramcars. Printed for cars 1 to 32 with items to be inspected or changed listed. Has been marked up in pencil for changes to the layout, possibly at the time of the takeover of the Trust by the MMTB and the formation of the Eastern System. Has a space for remarks on the rear. Note the "speed alarms" entry.Demonstrates an HTT tramcar maintenance form.Printed form on pink card - form No. 99tramways, htt, forms, tramcar maintenance, tramcar inspection, brakes -
Melbourne Tram Museum
Administrative record - Form, Hawthorn Tramways Trust (HTT), "Reconstruction of Track", c1920
Hawthorn Tramways Trust form No. 95, recording the work done on the reconstruction of the HTT track for the week ending. The card has been marked up in ink for changes to the layout, at the time of the takeover of the Trust by the MMTB and the formation of the Eastern System. The HTT tramway track had fell apart due to poor ballasting material and had to be reconstructed by the Trust and the MMTB.Demonstrates an HTT track reconstruction form.Printed form on off white - form No. 95tramways, htt, forms, trackwork, track repairs -
Carlton Football Club
Letter from Victorian Football League 1981, VFL Registration Form 5A, 1981
A now defunct Form 5A registration of playerA now defunct Form 5A registration of player of four time premiership player David McKay Career : 1969 - 1981 Debut : Round 3, 1969 vs Footscray, aged 19 years, 165 days Carlton Player No. 809 Games : 263 Goals : 277 Last Game : Grand Final, 1981 vs Collingwood, aged 31 years, 325 days Guernsey No. 43 Height : 191 cm (6 ft. 3 in.) Weight : 92 kg (15 stone, 0 lbs.) DOB : November 5, 1949 Premiership Player 1970, 1972, 1979, 1981 Carlton Hall of Fame (1996) One of the most spectacular high marks of his era, David Robert James “Swan” McKay was a Carlton star for twelve seasons, and a key member of four Premiership teams. Recruited from Newlyn, near Ballarat in central Victoria, McKay arrived at Princes Park in 1968 as a raw-boned 19 year-old. Coach Ron Barassi liked what he saw, and quickly realised that the laconic, easy-going country kid had the makings of something special after only a handful of games in the Blues’ number 43 guernsey. At 191cm and 95 kg he was robust enough to play in the ruck, while his exceptional aerial skills allowed him to hold down a key position. The problem was that he had joined the reigning premiers, so he wasn’t able to claim a regular place in the side until after the Blues were beaten by Richmond in the ’69 Grand Final. Early in the following season, McKay was given a chance at centre half-back, and took to it “like a swan to water.” Quick for his size and blessed with wonderful judgement, “Swan” soon became a crowd favourite. From that season on and throughout his career, it was only on rare occasions when the weekly televised football highlights package did not include footage of him drifting across the front of the pack to pluck the ball from the hands of an opponent, or leaping high over three or four sets of shoulders to take another soaring high mark. By 1970, McKay was embedded in the Carlton defence and hadn’t missed a game all season. After the Blues wound up second on the ladder, David experienced the thrill of a VFL final for the first time in his 29th senior match, when almost 113,000 fans packed into the MCG to see Collingwood beat Carlton by 10 points in a high-scoring Semi Final. Swan took 10 marks amid his 16 possessions that afternoon, and although his side was beaten, he revelled in the occasion. A fortnight later, after destroying St Kilda in a one-sided Preliminary Final, Carlton met Collingwood again in the Grand Final in front of an even bigger crowd. McKay was in trouble early against his taller, equally athletic opponent Len Thompson, but rallied after half time to get right on top as the Blues came from 44 points down to shatter Collingwood in the greatest of all Grand Final comebacks. Swan took nine telling marks and collected 18 possessions to be hailed as Best on Ground, before collecting the first of his four Premiership medals. One of the hallmarks of the Carlton teams coached by Barassi was their versatility, so as his career progressed, McKay started spending time up forward or in the ruck. From then on, when a game was in the balance and a goal or two was sorely needed, he was the man the Blues often looked for. He worked hard on his shooting for goal and became a reliable forward option. The 1972 final series must rank as one of Carlton’s finest hours, as the Blues fought their way through three hard, cut-throat games to meet the raging favourites Richmond in the Grand Final. In that remarkable encounter on a fine, cool day at the MCG, Swan lined up in a back pocket to cover the Tigers’ resting ruckmen and for once, lowered his colours to Richmond’s Neil Balme, who kicked 5 goals – but the Blues still won by 27 points and McKay picked up his second medal. In August 1973, Swan brought up game number 100 against Footscray at the Western Oval. Carlton won by nine points – thanks to McKay’s 13 marks in great game at centre half-back. A month later, the Blues and the Tigers met again on Grand Final day, and – still smarting from their surprise defeat the previous year – Richmond went head-hunting in a spiteful match. Swan was shifted forward early and kicked two majors, but neither he nor his team could match Richmond’s ferocity and the Tigers won the flag by 30 points. Midway through the following season, in round 14, 1975 - McKay was embroiled in another infamous encounter at Essendon’s Windy Hill – a game that saw eight players (himself included) reported. On a wet and miserable day dominated by a howling wind, Swan’s 22 disposals, 14 marks and eight goals won the game for Carlton, and making that victory even sweeter, he later escaped suspension for striking. By the time Carlton was knocked out of the finals in 1976 by straight-sets defeats at the hands of Hawthorn and North Melbourne, McKay was 27 and had racked up 172 games. But he felt he needed relief from the pressure-cooker life of a VFL footballer, so he agreed in principle to join WAFL club Subiaco. When he requested a clearance from Carlton however, the Blues steadfastly refused. Both sides dug in their heels, and some unfortunate headlines resulted before Swan relented and resumed training some weeks into 1977. In round 13 of that season, on a freezing cold and wet Saturday afternoon at the Junction Oval, bottom side Fitzroy caused a huge upset by beating Carlton by 7 points. In his 181st game, McKay took 9 marks, and his second goal of the game was the 200th of his career. McKay’s fourth Grand Final came in 1979 against Collingwood. By then one of only five survivors from the ’73 team, Swan was approaching his 30th birthday. yet still playing valuable, consistent football. In a close, absorbing match on a wet and slippery MCG that day, Carlton again won a nail-biter by just 5 points, thanks to Wayne Harmes’ famous swipe at the ball from a forward pocket in the last minutes of the game. The ball ended at the feet of Ken Sheldon, whose goal clinched Carlton’s twelfth Premiership, and McKay’s third. Throughout the majority of his career, Swan was a durable type who rarely suffered serious injury. That all changed in 1980 however, when he rolled an ankle, played on, and compounded the injury which hampered him for the rest of his career. Carlton made the finals again, but dropped out after successive losses. That was a bitter blow for the Blues, who promptly sacked coach Peter Jones and reinstated David Parkin. Because of his ankle, Swan missed a number of games early in 1981, but was back to near his best for the finals. Carlton destroyed Geelong by 40 points in the second Semi Final and marched into the Grand Final as hot favourites against Collingwood. In a typically fierce and physical decider, Collingwood led by 21 points late in the third quarter, before the confident Blues overwhelmed them in the last term - winning Premiership number four for Swan McKay, and flag number thirteen for Carlton. One of the goals in that vital last quarter came from the big number 43. It was his second major of the game, and his last kick in league football. Amid the jubilation of victory in the rooms after the game, Swan announced his retirement after 263 games and 277 career goals. He was a few weeks short of his thirty-second birthday and it was an appropriate way to end the playing career of one of the club’s favourite sons. Following his retirement, McKay stayed involved at Princes Park in a number of off-field roles. He was inducted into the Carlton Hall of Fame in 1996, and later became a high-profile critic of Carlton’s President John Elliott. When Elliott was voted out of office in 2002, McKay was appointed a director of the club under new President Ian Collins. During 1999 and 2000, David's son James McKay played eight Reserves games and kicked two goals for Carlton. Milestones 100 Games : Round 21, 1973 vs Footscray 150 Games : Round 2, 1976 vs Essendon 200 Games : Round 10, 1978 vs Footscray 250 Games : Round 9, 1981 vs South Melbourne 100 Goals : Round 13, 1974 vs Geelong 200 Goals : Round 13, 1977 vs FitzroyLetters & copy of form from VFL -
Warrnambool and District Historical Society Inc.
Book, Victorian Readers Eight Book, Mid 20th century
This is the Eighth Reader in the series of school readers introduced in 1928 for the Education Department of Victoria and used extensively in Victorian schools in the early to mid 20th century decades. This copy was in use as a Form Two (Year 8) class set at St. Ann’s College, Warrnambool in the 1970s .This book is of general interest, being the final book in the series of school readers that were in widespread use in Victorian schools from the late 1920s to the 1950s. The book is also of interest because it was used at St. Ann’s College, Warrnambool in the 1970s and has the signatures of nine pupils who used the book at that time. St. Ann’s College, the Catholic secondary school for girls in Warrnambool in the 1970s, is now incorporated into the co-educational Catholic secondary school in Warrnambool – Emmanuel College. This is a hard cover book of 260 pages. It has a Contents page, an Acknowledgments page, reading material of prose and verse, including extracts from books of well-known authors and Notes and Explanations at the back of the book. The cover is brown with the emblem of the Education Department of Victoria on the front and the book is missing its spine covering. The book has many black and white photographs and sketches. The inscription and signatures on the first page are handwritten in black, blue and red ink.‘Form Two St. Ann’s College’ victorian school readers, history of warrnambool -
Stawell Historical Society Inc
Photograph, Stawell High School 1973, 1973
6975-32 Stawell High School Form 3A, 1973 Form Teacher Mr Kruger Back Row, Julie Start, Robyn Murphy, Kerryn Slater Middle Row, Christine Slorach, Julie Martin, Pam Robson, Pamela Guy, Judy Jeffery, Ruth West, Elizabeth McCracken, Helen McAllister, Front Row, Karen Vendee, Poppy Mangana. Margaret van Leeuwan, Wendy Mason, Mr Kruger, Julie Roe, Zanda Seng-Hpa, Geraldine Rathgeber, Angela Hayes. Students and Teacher Class Photo in front of OvalStawell High School Form 3A 1973education -
Stawell RSL Sub Branch War Museum
Certificate of Discharge, Australian Military Forces, Document, June 1919
Each soldier had one of these forms filled out on Discharge from the army. WW1 Australian Imperial Expeditionary Force Certificate of Discharge No 5998 Christopher Clark 59th Battalion Born in StawellChristopher was a WW1 Serviceman from Stawell WW1 Australian Imperial Expeditionary Force Certificate of Discharge of Soldier No 5998 Christopher Clark Australian Imperial Expeditionary Force WW1,59th Battalion Christopher Clark was born in Stawell on 25th December 1892 and was brought up on the family farm in Callawdda and worked in the district and then in Queensland where he obtained an engine drivers licence and drove the sugar trains then worked on the steam boiler engines in the sugar mills. When the First World War started he came back to Stawell and enlisted in the army on 11/4/1916. He was sent to France in the 59th Battalion. He was in the army 1175 days, serving 1029 days abroad. During his service he was promoted to Lance Corporal. Details from his daughter Ruth Clark of Ararat December 2017.Form is filled out for soldier Christopher Clarkww1, serviceman, soldiers, military, stawell -
Stawell Historical Society Inc
Photograph, Stawell High School Students1975, 1975
6975-36 Stawell High School Form 5A, 1975 Form Teacher Mrs Mather Back Row, Jilleen Jenkins, Paulett ?, Kaylene Clarke, Gaylene Slorach, Nancy Allan, Judy Kindred, Middle Row, Suzanne Gercovich, Pam Guy, Mary-anne Disher, Neville Moller, Ruth West, Gayle Redford, Elizabeth Klauss, Front Row, Jenny O'Neill, Karen Vendy, Pam Giles, Lynne Barney, Wendy Blake, Poppy Mangana, Angela Hayes, Absent, Bradley Mair, New, Bruce Johnston. Students Class Photo InteriorStawell High School 1975 Form 5Aeducation -
Federation University Historical Collection
Document - correspondence, Education Department, Victoria: Notice of Appointment - A Steane, 1896, 02/09/1896
Official notification to A A W Steane of his appointment as "pupil teacher on probation" at Bendigo State School, No 1976Green coloured form with hand written information added. Notice of appointment as pupil teacher on probationEducation Department of Victoria seal Form No. S96/24219 Number added 96/24139 Signature of acting Secretary of the Department Initials - top left cornera a w steane, bendigo state school, pupil teacher, probation, education department -
Eltham District Historical Society Inc
Document, Eltham Festival Parade update; 1987 Eltham Festival, 1987
Festival update with details on parade and entry formLetter A4, green paper and Entry form1987, eltham festival, parade, entry form -
Federation University Historical Collection
Book, Victorian Education Forms Relating to Swimming Certificates, c1968
These forms were used by Garry Powell, former Ballarat Teachers' College student.A number of forms relating to swimming and excursions. health, physical education, education, swimming, excursions, junior swimming certificate, senior swimming certificate -
Melbourne Tram Museum
Document - form, Melbourne & Metropolitan Tramways Board (MMTB), "Unpaid Fare", April 1974
Form used when the passenger did not have money - Headed MMTB, with Address, passenger details, number, signature, identification, part to be returned and details. Each has been numbered. Printed on off-white paper. Pads of forms were provided to conductors. The instructions to the payee notes that their fare could be paid using postage stamps. See items 1303, 1841 and 224.Demonstrates a MMTB Unpaid fare form.Document or form - two parts with perforated strip, No 12068, form 3/242, April 1974. Two copies held.trams, tramways, mmtb, tickets, fares, conductors