Gillespie, Samuel Archibald David

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

Reference Number: 
SMC/3/4/1/5 2:4
Name of Practitioner (Surname): 
Gillespie
(Christian Names in Full): 
Samuel Archibald David
Qualifications: 
MB Edin CM
Address: 
Dalbeattie
Present Work: 

General Practitioner (Panel)

Age as at 1st January 1916: 
49
Group B (45 to 55) Part-time home civil work: 
X in red circle
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: 
[Note] Am at present doing service, as part locum tenens for panel and civil work.
Date Form Signed: 
27/12/1915

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.