Crawford, John

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): 
Crawford
(Christian Names in Full): 
John
Qualifications: 
LRCS Ed.
Address: 
Douglas Water, Lanarkshire (as Locum)/*Tarbolton, Ayr
City/Town: 
Douglas Water/Tarbolton
Present Work: 

General Practitioner (Panel), Locum Tenens for Dr. McKenzie on active service

Age as at 1st January 1916: 
65
Group C (56 and Upwards) Locum Tenens: 
X (marked by SMSEC)

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: 

[*'Tarbolton, Ayr' written by SMSEC in red next to address] [Written by SMSEC in pencil next to Group C 'Locum Tenens' service category:] 'Doing it now'

Date Form Signed: 
[not signed or dated]

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.