Blakely, William Thomson
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):
Blakely
(Christian Names in Full):
William Thomson
Qualifications:
MB, CM
City/Town:
Kirkintilloch
Present Work:
Gen Pract Panel. Physician Broomhill Incurable Home, Lenzie; Phthisical Sanatorium, Lennon[?] Fever Hospital, K.loch [Kirkintilloch] Parish Council
Age as at 1st January 1916:
52
Group B (45 to 55) Part-time home civil work:
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:
28/12/1915
To be returned to
The Secretary,
Scottish Medical Service Emergency Committee,
Royal College of Physicians,
Edinburgh.