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.