Flaxman, Americ Edwin
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):
Flaxman
(Christian Names in Full):
Americ Edwin
Qualifications:
MA Oxon LSA Lond
Address:
St Nicholas
City/Town:
Pittenweem, Fife
Present Work:
General Practitioner non-panel
Age as at 1st January 1916:
61
Group C (56 and Upwards) Part-time home military work:
X Circled 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.
Date Form Signed:
19/02/1916
To be returned to
The Secretary,
Scottish Medical Service Emergency Committee,
Royal College of Physicians,
Edinburgh.