Gray, Allan E L
To be filled in by a Practitioner not holding a Commission
REGISTRATION FORM
MEDICAL RECRUITING SCHEME - 1916
Reference Number:
SMC/3/4/1/5 4:4
Name of Practitioner (Surname):
Gray
(Christian Names in Full):
Allan E L
Qualifications:
MB CM Edinburgh
Address:
Meikle Wartle
Present Work:
General Practitioner with Panel
Age as at 1st January 1916:
51
Group B (45 to 55) Locum Tenens:
X in red circle See accompanying letter.
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:
[No Letter attached]
Date Form Signed:
27/12/1915
To be returned to
The Secretary,
Scottish Medical Service Emergency Committee,
Royal College of Physicians,
Edinburgh.