Brook, Alexander Barnett

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

INTIMATION FORM

Reference Number: 
SMC/3/4/1/2 3:4
Name of Practitioner (Surname): 
Brook
Christian Names in Full: 
Alexander Barnett
Address: 
c/o Turf Club, Cairo, Egypt
City/Town: 
Invergordon
Rank in Army (or Navy): 
Lieut RAMC attached to Welsh Field Ambulance, 1st Feb 1916
The above-mentioned Practitioner is on Service as stated
Date Form Signed: 
17/02/1916

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.