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.