Dalziel, John M

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):

Dalziel

(Christian Names in Full):

John M

Present Work:

at present Medical Officer of Health at Lagos, West Africa

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.

Date Form Signed:

[not signed or dated]

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.

Notes on Registration Forms

Registration Forms were submitted by practitioners not holding Commissions from the Royal Army Medical Corps or the Royal Navy.

The registration forms give more information than the intimation forms.

The practitioners indicated what service they were willing to undertake by putting a cross in a column.

The box on the form indicates the column marked.

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Dalziel, John M

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Notes on Registration Forms