Gilmour, Colin Campbell Blair

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

INTIMATION FORM

Reference Number: 
SMC/3/4/1/5 2:4
Name of Practitioner (Surname): 
Gilmour
Christian Names in Full: 
Colin Campbell Blair
Address: 
29 General Hospital British Central European Expeditionary Force
City/Town: 
In red] Port Ellen, Address on signature is] Tigh An Leigh, Port Ellen, Islay
Rank in Army (or Navy): 
Lieut RAMC
The above-mentioned Practitioner is on Service as stated
Additional Information: 
Signed by Thomas Gilmour

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.