Cruickshank, Alexander

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

Reference Number: 
SMC/3/4/1/3 4:6
Name of Practitioner (Surname): 
Cruickshank
(Christian Names in Full): 
Alexander
Qualifications: 
MB, CM
Address: 
Lochengair
City/Town: 
Stonehaven
Present Work: 

General Practitioner (Panel), Capt. RAMCT demobilised since 1 may 1915, Admiralty Surgeon and Agent and attending troops

Age as at 1st January 1916: 
40
Rank in Army or Navy: 
Captain RAMC
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: 

[sumbitted both Initmation and Recruitment forms, letters attached to both forms]

Date Form Signed: 
12/04/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.