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.