Martyn, Samuel

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

INTIMATION FORM

Reference Number: 
SMC/3/4/1/9 8:10
Name of Practitioner (Surname): 
Martyn
Christian Names in Full: 
Samuel
Address: 
Fullarton House
City/Town: 
Airdrie
Rank in Army (or Navy): 
Captain RAMC
The above-mentioned Practitioner is on Service as stated
Additional Information: 
Note: Was in Gallipoli at present in France. Signed Mary E Martyn-Clark

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.