Name of Practitioner (Surname):
(Christian Names in Full):
Qualifications:
MD (Glasgow Univ), FRFPS Glasg
Present Work:
Not in panel practice. Medical referee various life ins. [Co.?] and such like
Age as at 1st January 1916:
Group C (56 and Upwards) Part-time home civil work:
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:
[note next to service marked -- crossed out:] Part-time charge of medical wards in Glasgow.
To be returned to
The Secretary,
Scottish Medical Service Emergency Committee,
Royal College of Physicians,
Edinburgh.