Gibson, John
To be filled in by, or on behalf of, Practitioner on
Service.
INTIMATION FORM
Reference Number:
SMC/3/4/1/5 1:4
Name of Practitioner (Surname):
Gibson
Christian Names in Full:
John
Address:
No 9. Stationary Hospital
City/Town:
Havre
Rank in Army (or Navy):
Lieut RAMC
The above-mentioned Practitioner is on Service as stated
Additional Information:
Signed by Mrs J Gibson
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.