Brown, James

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): 
Brown
Christian Names in Full: 
James
Address: 
Australasian Club, Edinburgh
City/Town: 
Edinburgh
Rank in Army (or Navy): 
Lieut RAMC (?)
The above-mentioned Practitioner is on Service as stated
Additional Information: 
[Question mark in 'Rank' written by signatory. Large question mark drawn over form by SMSEC]

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.