Andrew, James

To be filled in by a Practitioner not holding a Commission
REGISTRATION FORM
MEDICAL RECRUITING SCHEME - 1916

Reference Number: 
SMC/3/4/1/1 2:2
Name of Practitioner (Surname): 
Andrew
(Christian Names in Full): 
James
Qualifications: 
MD DPH comb.
Address: 
Arlington
City/Town: 
Coatbridge
Present Work: 

General Practitioner (Panel)

Age as at 1st January 1916: 
42
Group A (Under 45) Lieut., R.A.M.C. (general service): 
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: 
[Note on rank in RAMC]
Date Form Signed: 
21/02/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.