Stevens, John Barr
To be filled in by, or on behalf of, Practitioner on
Service.
INTIMATION FORM
Reference Number:
SMC/3/4/1/12 4:5
Name of Practitioner (Surname):
Stevens
Christian Names in Full:
John Barr
Address:
No2 Red Cross Hospital,
City/Town:
Gournay, France
Rank in Army (or Navy):
Major RAMCT
The above-mentioned Practitioner is on Service as stated
Additional Information:
Signed by W G Steven VF MOH Burgh of Renfrew
Present Work:
Commanding No 1 Sector
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.