Crochet, James

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): 
Crochet
(Christian Names in Full): 
James
Qualifications: 
MD Edin, DPH
Address: 
The Consumption Sanatoria of Scotland, Bridge of Weir
City/Town: 
Bridge of Weir
Present Work: 

Not in practice: appointments: 1) Med Supt. Consuption Sanatoria of Scotland 148 kids, 2) Med Supt. Colony of Mercy for Epileptics 100 kids, 3) Med Officer: Orphan House Partland, 1500 children

Age as at 1st January 1916: 
38
Group A (Under 45) Lieut., R.A.M.C. (general service): 

X

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: 

[letters and unfinished form attached to form]

Date Form Signed: 
19/06/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.