Cowan, Samuel Campbell

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): 
Cowan
(Christian Names in Full): 
Samuel Campbell
Qualifications: 
MB, ChB
Address: 
Middlecroft
City/Town: 
Kirkintilloch
Present Work: 

General Practitioner, Panel etc.

Age as at 1st January 1916: 
44

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: 

[note at bottom of page]

Date Form Signed: 
23/08/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.