Longmore, Herbert John Adam

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

INTIMATION FORM

Reference Number: 
SMC/3/4/1/8 3:3
Name of Practitioner (Surname): 
Longmore
Christian Names in Full: 
Herbert John Adam
Address: 

109 Forrest Avenue

City/Town: 
Aberdeen
Rank in Army (or Navy): 
Capt RAMC TF 1st Scot Gen Hospital
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.