Gordon, James Alexander

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): 
Gordon
Christian Names in Full: 
James Alexander
Address: 
49 High Street (Now HMS Orama GPO London)
City/Town: 
Buckie
Rank in Army (or Navy): 
Surgeon in navy
The above-mentioned Practitioner is on Service as stated
Additional Information: 
Written in pencil: since January 1915. Signed by John W Gordon, 51 High Street, Buckie

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.