Trotter, Robert Samuel

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

INTIMATION FORM

Reference Number: 
SMC/3/4/1/13 3:3
Name of Practitioner (Surname): 
Trotter
Christian Names in Full: 
Robert Samuel
Address: 
Mount Tabor House, Kinnoull
City/Town: 
Perth
The above-mentioned Practitioner is on Service as stated
Additional Information: 
Signed by Jane S Trotter Wife
Qualifications: 
MD DPH
Present Work: 
At present Waiyevo Taveuni, Fiji Colonial Medical Service

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.