Allan, Richard
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):
Allan
(Christian Names in Full):
Richard
Qualifications:
LRCPEd and Fac. Phy & Surg (Glasgow) Glasgow
Address:
Glenfield
City/Town:
Dumbarton
Present Work:
General Prac (Panel); MOH and Parochial MO [new?] Recruits "Dumbarton Area"
Age as at 1st January 1916:
70
Group C (56 and Upwards) Part-time home military work:
X
Group C (56 and Upwards) Locum Tenens:
X
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:
"Unable for any more work"
Date Form Signed:
24/12/1915
To be returned to
The Secretary,
Scottish Medical Service Emergency Committee,
Royal College of Physicians,
Edinburgh.