Adam, John
To be filled in by a Practitioner not holding a Commission
REGISTRATION FORM
MEDICAL RECRUITING SCHEME - 1916
Reference Number:
SMC/3/4/1/1 1:2
Name of Practitioner (Surname):
Adam
(Christian Names in Full):
John
Qualifications:
MB, CM (Glagow 1890)
Address:
Duncryne
City/Town:
Forres
Present Work:
General Practitioner, MO at V A D Hospital, Forres, Senior Surgeon Leanchoil Hospital, Forres, M.O. for Dallas Lodge Officers' Convalescent Home
Age as at 1st January 1916:
47
Group B (45 to 55) Locum Tenens:
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.
Additional Information:
Have already offered in service in France (twice) and been returned. Was offered home service which I declined as I was doing V.A.D. work; At home for Dr. Miller whio is going off for service
Date Form Signed:
10/04/1916
To be returned to
The Secretary,
Scottish Medical Service Emergency Committee,
Royal College of Physicians,
Edinburgh.