Darling, Alfred Berwick

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): 
Darling
(Christian Names in Full): 
Alfred Berwick
Qualifications: 
MB
Address: 
54 Braid Road
City/Town: 
[?]
Present Work: 

I have already filled in this form for Dr. Alfred B. Darling - saying that he is ill. He has been confined to bed for the last four months or so and there is no immediate prospect of his being able to do any work. [signed] John W. Brown, MD

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: 
[form not filled in by practitioner] [Written by SMSEC in pencil at top of page:] Died 20-2-16.
Date Form Signed: 
[not dated]

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.