Campbell, David Birrell
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):
David Birrell
Qualifications:
MB, CM [Glasgow]
Address:
34 Ardrossan Road
City/Town:
Saltcoats, Ayrshire
Present Work:
General Practitioner Panel Certif [certified] Surgeon Saltcoats
Age as at 1st January 1916:
51
Group B (45 to 55) Part-time home military work:
X
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.
Additional Information:
Part time home civil work circled by SMSEC
Date Form Signed:
09/02/1916
To be returned to
The Secretary,
Scottish Medical Service Emergency Committee,
Royal College of Physicians,
Edinburgh.