Fairlie, Harry Prescott
To be filled in by a Practitioner not holding a Commission
REGISTRATION FORM
MEDICAL RECRUITING SCHEME - 1916
Reference Number:
SMC/3/4/1/4 2:3
Name of Practitioner (Surname):
Fairlie
(Christian Names in Full):
Harry Prescott
Qualifications:
MD
Address:
128 Elderslie Street
City/Town:
Glasgow
Present Work:
Anaesthetist
Age as at 1st January 1916:
31
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.
Additional Information:
I am present giving anaesthetics and have for the past year, at Springburn Red Cross Hospital. Am married and have one child. Have a lease of my house. If my services as an anaesthetist [underlined] are urgently required and if a reasonable financial position is guaranteed in view of the above responsibilities, I am quite willing to offer my services.
Date Form Signed:
27/12/1915
To be returned to
The Secretary,
Scottish Medical Service Emergency Committee,
Royal College of Physicians,
Edinburgh.