De Sylva, Elphinstone Mumford Joseph

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

Reference Number: 
SMC/3/4/1/3 5:6
Name of Practitioner (Surname): 
De Sylva
(Christian Names in Full): 
Elphinstone Mumford Joseph
Qualifications: 
LRCPE, LRCSE, LFPSG
Address: 
The Glen
City/Town: 
Arisaig, Inverness-shire
Present Work: 

General practitioner, parish medical officer, District MOH, contract with Inverness County Insurance Committee and Highland & Islands Medical Service Board

Age as at 1st January 1916: 
45
Group B (45 to 55) Lieut., R.A.M.C. (home 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: 
Letters attached
Date Form Signed: 
01/03/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.