Eason, Walter Forrest
To be filled in by a Practitioner not holding a Commission
REGISTRATION FORM
MEDICAL RECRUITING SCHEME - 1916
Reference Number:
SMC/3/4/1/4 1:3
Name of Practitioner (Surname):
Eason
(Christian Names in Full):
Walter Forrest
Qualifications:
MB CM
Address:
Lytham
City/Town:
Shotts [?]
Present Work:
General Practitioner (Panel)
Age as at 1st January 1916:
43
Group A (Under 45) Lieut., R.A.M.C. (general service):
Red Circle next to A
Group B (45 to 55) Part-time home civil work:
X (in red)
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:
I have arranged to do half of Dr Winning's [?] civil work Dr Winning goes off on 8th Jan 1916 for Military Service
Date Form Signed:
27/12/1915
To be returned to
The Secretary,
Scottish Medical Service Emergency Committee,
Royal College of Physicians,
Edinburgh.