Elder, William

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): 
Elder
(Christian Names in Full): 
William
Qualifications: 
MD FRCPE
Address: 
4 John's Place
City/Town: 
Leith
Present Work: 

General Practitioner Private Practice and Panel

Age as at 1st January 1916: 
51
Group B (45 to 55) Part-time home military work: 
X
Group B (45 to 55) Part-time home civil work: 
X (circled 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: 

[Written next to B Part Time and Civil Work] (Hospital visiting) N.B I have as much private visiting work as I can overtake (W.E)

Date Form Signed: 
12/01/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.