Fergusson, William Manson

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): 
Fergusson
(Christian Names in Full): 
William Manson
Qualifications: 
MD(Aberdeen) ChB(Aberdeen) L.M (Rotunda)
Address: 
14 Old Castle Gate
City/Town: 
Banff
Present Work: 

Surgeon: but at present helping with general practice which includes panel. M.O i/c[?] auxiliary Hospital Banff, under 1st S.G.H

Age as at 1st January 1916: 
32
Group A (Under 45) Lieut., R.A.M.C. (general service): 
X
Group B (45 to 55) Part-time home military work: 
X [Written next to it] But passed as fit for Home Service only
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: 
18/02/1918

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.