Cullen, John Robert Flemming

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): 
Cullen
(Christian Names in Full): 
John Robert Flemming
Qualifications: 
MD, CM
Address: 
Alexandria House
City/Town: 
Alexandria, Dumbartonshire
Present Work: 

General Practitioner (Panel); Medical Officer VIC on [?]alimall Reserve List

Age as at 1st January 1916: 
52
Group B (45 to 55) Part-time home military work: 
X
Group B (45 to 55) Part-time home civil work: 
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: 
[Written next to Group B 'Part-time home military work' category:] 'If not too taxing. [Written next to Group B 'Part-time home civil work' category:] 'If practitioner[?] be absent.'
Date Form Signed: 
24/12/1915

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.