Ash, Robert Vacy Clifford

To be filled in by, or on behalf of, Practitioner on
Service.

INTIMATION FORM

Reference Number: 
SMC/3/4/1/1 2:2
Name of Practitioner (Surname): 
Ash
Christian Names in Full: 
Robert Vacy Clifford
Address: 
Malvern, Hepburn Gardens
City/Town: 
St. Andrews
Rank in Army (or Navy): 
Lieut RAMC (TF) 6 months
The above-mentioned Practitioner is on Service as stated
Date Form Signed: 
25/12/1915
Qualifications: 
MB, DPH

SPECIAL NOTE:

1. Where a Practitioner holds a Commission, but is still at home, this
Intimation Form should be filled in by the Practitioner himself.

2. Where a Practitioner is absent from home on Service, this Intimation Form
should be filled in by some person on his behalf.

 

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.