Evans, Owen Glendower
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):
Evans
(Christian Names in Full):
Owen Glendower
Qualifications:
LRCP&SE, LRFP&SS
Address:
Eskdale Cottage
City/Town:
Stow
Present Work:
Qualified Oct 1916
Age as at 1st January 1916:
26
Group A (Under 45) Lieut., R.A.M.C. (general service):
X (and 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.
Date Form Signed:
22/03/1917
To be returned to
The Secretary,
Scottish Medical Service Emergency Committee,
Royal College of Physicians,
Edinburgh.