Cullen, William Laing

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): 
William Laing
Qualifications: 
MB, CM (Edinburgh Univ)
Address: 
Furholme[?]
City/Town: 
St. Boswells, Roxburghshire
Present Work: 

General Practitioner (Panel)

Age as at 1st January 1916: 
54
Group B (45 to 55) Lieut., R.A.M.C. (home service): 
X
Group B (45 to 55) Part-time home military work: 
X
Group B (45 to 55) Part-time home civil work: 
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: 

[Written next to Group B 'Lieut, RAMC (home service)' category:] 'Or abroad. If arrangements are made for carrying on of work locally.'

Date Form Signed: 
10/01/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.