Fotheringham, James Bryan
To be filled in by, or on behalf of, Practitioner on
Service.
INTIMATION FORM
Reference Number:
SMC/3/4/1/4 3:3
Name of Practitioner (Surname):
Fotheringham
Christian Names in Full:
James Bryan
Address:
Rosshill
City/Town:
Motherwell
Rank in Army (or Navy):
Captain RAMC (S.R)
The above-mentioned Practitioner is on Service as stated
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.