Semple, Miller

To be filled in by a Practitioner not holding a Commission
REGISTRATION FORM
MEDICAL RECRUITING SCHEME - 1916

Reference Number: 
SMC/3/4/1/12 1:5
Name of Practitioner (Surname): 
Semple
(Christian Names in Full): 
Miller
Qualifications: 
MB CM
Address: 
Ulmarra, Dennistoun
City/Town: 
Glasgow
Present Work: 

General Practitioner Panel; Medical Referee Prudential Assurance Co [_?] for Dennistoun and Parkhead District Medical Officer to the Steel Company of Dersland Blochairn. Civilian Practitioner in Charge of troops attached to 8th Scottish Rifles. Approved Medical Examiner of recruits for Glasgow. Over 1300 panel patients from lists of Drs McCutcheon and Turner. Casualty surgeon for St Rollox District of Glasgow Police (for Dr Green)

Age as at 1st January 1916: 
53
Group B (45 to 55) Lieut., R.A.M.C. (home service): 
X in red circle
Group B (45 to 55) Part-time home military work: 
X
Group B (45 to 55) Part-time home civil work: 
X

At the call of the local War Committee for my area, as instructed by the
Scottish Medical Service Emergency Committee, I am prepared to render the service
or services marked above. This offer is subject to the condition that, in the event
of such service requiring me to leave my present work, I am enabled to make
arrangements for having it carried in during my absence.

Date Form Signed: 
24/12/1915

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.