Ballantyne, Harold Sherman

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

Reference Number: 
SMC/3/4/1/2 1:4
Name of Practitioner (Surname): 
Ballantyne
(Christian Names in Full): 
Harold Sherman
Qualifications: 
MB, CM, FRCPE, DPH, BSc
Address: 
Ashton
City/Town: 
Eskbank, Midlothian
Present Work: 

General Practitioner for 20 years, in Dalkeith, Bonnyrigg, Lasswade, Roslin and surrounding districts. Panel dator[?] with about 1000 of a panel list. Medical officer of Health for Dalkeith Burgh, Parish Medical Officer for Dalkeith Parish, Post Office medical officer for Dalkeith and District also certifying factory surgeon for same district. Medical officer to Dalkeith Combination Poorhouse

Age as at 1st January 1916: 
41
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.
Date Form Signed: 
30/12/1915

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.