Campbell, Alexander Cameron
To be filled in by a Practitioner not holding a Commission
REGISTRATION FORM
MEDICAL RECRUITING SCHEME - 1916
Reference Number:
SMC/3/4/1/3 2:6
Name of Practitioner (Surname):
Campbell
(Christian Names in Full):
Alexander Cameron
Qualifications:
LRCP+S (Edin) (1901)
Address:
The Manse
City/Town:
Balfron, Stirlingshire
Present Work:
Up till a year ago -- General Practitioner
Age as at 1st January 1916:
46
Group B (45 to 55) Lieut., R.A.M.C. (home 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.
Additional Information:
Born 11 Sept 1869 [letter attached to form]
Date Form Signed:
02/03/1917
To be returned to
The Secretary,
Scottish Medical Service Emergency Committee,
Royal College of Physicians,
Edinburgh.