Affleck, James Ormiston Knight[?]

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): 
Affleck
(Christian Names in Full): 
James Ormiston Knight[?]
Qualifications: 
MD, LLD, FRCP
Address: 
38 Heriot Row
City/Town: 
Edinburgh
Present Work: 

Consultant

Age as at 1st January 1916: 
75
Group C (56 and Upwards) Part-time home civil 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: 
or Hospital service
Date Form Signed: 
22/06/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.