Name of Practitioner (Surname):
(Christian Names in Full):
Qualifications:
MB, MD Lond, MB CM MD + MRCP. Edin, etc.
Present Work:
Tutor[?] Univ Wards (Univ. Dr W.G. Sym); MO Eye Depart. New Town Dispensary; Asst. Surgeon Cabridge St. Eye Infirmary; MO for Eye Exam. HM [_?] Polmont; Deputy MO HM Prison (most of day taken up with above)
Age as at 1st January 1916:
Group B (45 to 55) Lieut., R.A.M.C. (home service):
Group B (45 to 55) Part-time home military work:
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:
[Written next to Group B 'RAMC (home service)':] Eye work in above [Birthdate:] 9 Sept 1865
To be returned to
The Secretary,
Scottish Medical Service Emergency Committee,
Royal College of Physicians,
Edinburgh.