Brown, Walter Falconer

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: 
Walter Falconer
Address: 

Charlotte House

City/Town: 
Ayr
Rank in Army (or Navy): 
Captain Sanitary Service, not yet mobilised
The above-mentioned Practitioner is on Service as stated
Additional Information: 
[Written by SMSEC in red at top of page:] not on commission. = O

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.