Shaw, Charles John

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):

Shaw

(Christian Names in Full):

Charles John

Qualifications:

MD FRCP

Address:

Royal Asylum, Sunnyside

City/Town:

Montrose

Present Work:

Medical Superintendent of Royal Asylum of Montrose

Age as at 1st January 1916:

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.

Additional Information:

Notes on form

Date Form Signed:

05/01/1915

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.

Notes on Registration Forms

Registration Forms were submitted by practitioners not holding Commissions from the Royal Army Medical Corps or the Royal Navy.

The registration forms give more information than the intimation forms.

The practitioners indicated what service they were willing to undertake by putting a cross in a column.

The box on the form indicates the column marked.

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Shaw, Charles John

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Notes on Registration Forms