Sewell, William Alexander

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

INTIMATION FORM

Reference Number: 
SMC/3/4/1/12 1:5
Name of Practitioner (Surname): 
Sewell
Christian Names in Full: 
William Alexander
Address: 
1 Clifton Place
City/Town: 
Glasgow
Rank in Army (or Navy): 
Surgeon RNVR Naval Division on service in Gallipoli
The above-mentioned Practitioner is on Service as stated
Additional Information: 
Signed William R Sewell MD Father of above practitioner. Additonal address: Rosemount, Helensburgh

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.