Kirk, Henry Bruce

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

Reference Number: 
SMC/3/4/1/7 3:3
Name of Practitioner (Surname): 
Kirk
(Christian Names in Full): 
Henry Bruce
Qualifications: 
MB ChB Edin
Address: 
17 Greenhill Gardens
City/Town: 
Edinburgh
Present Work: 

Graduated Dec 1915 applied for RAMC Commission (General Service) Jan 1916 , Was rejected as physically unfit & promised appointment (civil) in Military Hospital at Scottish Command. Am still waiting for this; and have been and am fully occupied doing locum tenency work in various parts of the country.

Age as at 1st January 1916: 
26
Group A (Under 45) Lieut., R.A.M.C. (general service): 
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: 
13/07/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.