Clarke, Robert

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

Reference Number: 
SMC/3/4/1/3 3:6
Name of Practitioner (Surname): 
Clarke
(Christian Names in Full): 
Robert
Qualifications: 
MD, CM, DPH
Address: 
Reuther Villa
City/Town: 
Rutherglen
Present Work: 

General Practitioner, Panel. MOH Burgh of Rutherglen part time. Certifying Surgeon under Factory Acts for District of Cambuslang. Gazetted Civil Medical Practitioner in charge of troops in Rutherglen in April 1915 as from October 1914.

Age as at 1st January 1916: 
53
Group B (45 to 55) Part-time home military work: 
X in Rutherglen or near
Group B (45 to 55) Part-time home civil work: 
X in Rutherglen or near
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: 
SMSEC ringed part-time home civil work
Date Form Signed: 
30/12/1915

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.