Clark, James Aitken

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

INTIMATION FORM

Reference Number: 
SMC/3/4/1/3 1:6
Name of Practitioner (Surname): 
Clark
Christian Names in Full: 
James Aitken
Address: 

3/8th Provisional Battn Royal Scots

City/Town: 
Leven, Fifeshire
Rank in Army (or Navy): 
Captain (RAMC)
The above-mentioned Practitioner is on Service as stated
Additional Information: 
[Written by SMSEC in blue at top of page:] Noted under Edinburgh

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.