Dickson, James Gibbons

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): 
Dickson
(Christian Names in Full): 
James Gibbons
Qualifications: 
MD, LFPSG
Address: 
Woodlee
City/Town: 
NewtonStewart (marked in red by SMSEC: Dumfries)
Present Work: 

General practioner, panel - parochial Medical Officer physician county Infectious Diseases Hospital - factory Surgeon

Age as at 1st January 1916: 
78
Group C (56 and Upwards) Part-time home civil work: 
X (ringed in red 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: 

(Note at Group C:) Have been, and am, taking part duty of a local doctor on Military Service

Date Form Signed: 
21/02/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.