Middleton, James

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

INTIMATION FORM

Reference Number: 
SMC/3/4/1/9 9:10
Name of Practitioner (Surname): 
Middleton
Christian Names in Full: 
James
Address: 

75 Queen Street

City/Town: 
Peterhead
Rank in Army (or Navy): 
Major RAMCT
The above-mentioned Practitioner is on Service as stated
Present Work: 
Note] I am with the assistance of Dr Hynd doing duty at 5th Gordon Depot at Peterhead as I myself have been ill Signed] James Middleton

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.