Cassie, Ethel

To be filled in by a Practitioner not holding a Commission
REGISTRATION FORM
MEDICAL RECRUITING SCHEME - 1916

Reference Number: 
SMC/3/4/1/15 1:2
Name of Practitioner (Surname): 
Cassie
(Christian Names in Full): 
Ethel
Qualifications: 
MB ChB Edin DPH
Address: 
Temporary: 14 Glebe Terreace, Alloa Permanent: 29 George Square, Edinburgh Formerly: 19 Blacket Place, Edinburgh
City/Town: 
Alloa
Present Work: 

Medical Officer of Health & School Clackmannanshire

Age as at 1st January 1916: 
33
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: 
30/03/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.