Campbell, Alexander David

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 David
Qualifications: 
MB, ChB, DPH
Address: 
"Merchiston"
City/Town: 
Kirkcaldy
Present Work: 

Assistant Medical Officer of Health for Counties of Fife and Kinross + 10 burghs therein; and Medical Officer of Health for burghs of Kircaldy, Burntisland and Kinghorn

Age as at 1st January 1916: 
29
Group A (Under 45) Lieut., R.A.M.C. (general 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: 

[Written next to Group A 'Lieut, RAMC (general service)': Commission applied for RAMC. [Written at bottom of page:] delay due to my awaiting result of application for Commission as above. Still no reply.

Date Form Signed: 
19/01/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.