Adam, Thomas
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):
Thomas
Qualifications:
MA, MD, DPH, MRCS, LRCP
Address:
County Buildings
City/Town:
Stirling
Present Work:
County Medical Officer of Health, County Tuberculosis Officer, County School Medical Officer
Age as at 1st January 1916:
49
Group B (45 to 55) Part-time home military 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.
Additional Information:
[letter attached to form]
Date Form Signed:
21/02/1916
To be returned to
The Secretary,
Scottish Medical Service Emergency Committee,
Royal College of Physicians,
Edinburgh.