Henderson, George

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

Reference Number: 
SMC/3/4/1/6 2:3
Name of Practitioner (Surname): 
Henderson
(Christian Names in Full): 
George
Qualifications: 
MD
Address: 
Coldstream
Age as at 1st January 1916: 
60
Group C (56 and Upwards) Part-time home military 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.
Date Form Signed: 
12/01/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.