Clarkson, Robert Duward

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): 
Clarkson
(Christian Names in Full): 
Robert Duward
Qualifications: 
MD, FRCPE
Address: 
The Park
City/Town: 
Larbert
Present Work: 

Medical Superintendent of Scottish National Institution for the Education of Imbecile Children. Actomg Surgeon to civil wards of Falkirk Infirmary to release Dr Alfred Griffiths, now Lieut. RAMC.

Age as at 1st January 1916: 
48
Group B (45 to 55) Part-time home civil work: 
X as stated above
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: 
24/12/1915

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.