Wylie, William Gifford

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

INTIMATION FORM

Reference Number: 
SMC/3/4/1/14 4:4
Name of Practitioner (Surname): 
Wylie
Christian Names in Full: 
William Gifford
Address: 

Whitelee Near Galashiels

City/Town: 
Roxburghshire
Rank in Army (or Navy): 
Surgeon RN
The above-mentioned Practitioner is on Service as stated
Additional Information: 
Signed by A Wylie Captain 1st Royal Scots Fushilers

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.