Bell, A L

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

Reference Number: 
SMC/3/4/1/2 2:4
Name of Practitioner (Surname): 
Bell
(Christian Names in Full): 
A L
Qualifications: 
MD, DPH
Address: 
Ballvo[_?] House
City/Town: 
Dunfermline
Present Work: 

General Practitioner (Panel), Medical Officer Parish Council. Also Surgeon to Dunfermline & West Fife Hospital

Age as at 1st January 1916: 
54
Group B (45 to 55) Part-time home civil work: 
X (marked by SMSEC)

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: 

[Service category selected by SMSEC. Group B 'Part-time home military work', 'Locum Tenens', and 'Part-time home civil work' crossed out by practitioner]

Date Form Signed: 
20/02/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.