Fotheringham, David Hutton

To be filled in by a Practitioner not holding a Commission
REGISTRATION FORM
MEDICAL RECRUITING SCHEME - 1916

Reference Number: 
SMC/3/4/1/4 3:3
Name of Practitioner (Surname): 
Fotheringham
(Christian Names in Full): 
David Hutton
Qualifications: 
MA MB & CM
Address: 
3 Armadale Street
City/Town: 
Glasgow
Present Work: 

General Practitioner with panel at present doing Dr Couper's Panel in addition to my own. Dr Couper is at Salonica.

Age as at 1st January 1916: 
52
Group B (45 to 55) Lieut., R.A.M.C. (home service): 
X Red circle
Group B (45 to 55) Part-time home military work: 
X
Group B (45 to 55) Locum Tenens: 
X
Group B (45 to 55) Part-time home civil work: 
X

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: 

[Next to B part time home civil work]: doing this now (in red)

Date Form Signed: 
24/12/1915

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.