Austin, Robert Blackie

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): 
Austin
(Christian Names in Full): 
Robert Blackie
Qualifications: 
MB, ChB (Glasgow Univ)
Address: 
16 William St, Rossbank
City/Town: 
Port Glasgow
Present Work: 

General Practice (Panel)

Age as at 1st January 1916: 
28
Rank in Army or Navy: 
Lieut RAMC
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: 

[both Intimation and Registration forms] [On Intimation form:] "Note accompanying letter" [no letter attached to form -- rust marks suggest paper clip used to attach note]

Date Form Signed: 
23/12/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.