Dill, Alfred Vincent

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): 
Dill
(Christian Names in Full): 
Alfred Vincent
Qualifications: 
MB, ChB
Address: 
Alloway House
City/Town: 
Ayr
Present Work: 

Recent Graduate, have applied for Commission and hope to have one by 1 July 1916

Age as at 1st January 1916: 
22
Group A (Under 45) Lieut., R.A.M.C. (general service): 

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.

Date Form Signed: 
20/06/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.