Nasmyth, William R
To be filled in by, or on behalf of, Practitioner on
Service.
INTIMATION FORM
Reference Number:
SMC/3/4/1/10 1:3
Name of Practitioner (Surname):
Nasmyth
Christian Names in Full:
William R
Address:
Norwood
City/Town:
Crossgates
Rank in Army (or Navy):
Lieut RAMC (Home Service)
The above-mentioned Practitioner is on Service as stated
Additional Information:
Signed by Alexander Selkirk who is doing the whole of his work along with his own.
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.