Smith, 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 3:5
Name of Practitioner (Surname):
Smith
(Christian Names in Full):
John
Qualifications:
MD CM Edin MRCS Eng LRCP Lond
Address:
Brycehall, Kirkwynd
City/Town:
Kirkcaldy
Present Work:
General Practitioner - Panel PO Medical Officer Referee - Workmen's Compensation Act: Joint Recruting (Civilian) MO - Kirkcaldy District (with partner).
Age as at 1st January 1916:
60
Group C (56 and Upwards) Part-time home military work:
X
Group C (56 and Upwards) Part-time home civil work:
X in red circle
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.