Goldie-Scot, Thomas

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

Reference Number: 
SMC/3/4/1/12 1:5
Name of Practitioner (Surname): 
Goldie-Scot
(Christian Names in Full): 
Thomas
Qualifications: 
Bachelor of Medcine, Master in Surgery Edin Uni MRCS LRCP Engd
Address: 
Crichton Royal
City/Town: 
Dumfries
Present Work: 

Temporary Assist Physician whole time. Home Address Pilmiur, Pencaitland

Age as at 1st January 1916: 
49

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 on form

Date Form Signed: 
27/12/1915

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.