Douglas, Kenneth Mackinnon

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): 
Douglas
(Christian Names in Full): 
Kenneth Mackinnon
Qualifications: 
MD, FRCS Edin
Address: 
19 Chester Street
City/Town: 
Edinburgh
Present Work: 

non panel general practitioner

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: 
23/12/1915

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.