Laurie, William John
To be filled in by a Practitioner not holding a Commission
REGISTRATION FORM
MEDICAL RECRUITING SCHEME - 1916
Reference Number:
SMC/3/4/1/8 1:3
Name of Practitioner (Surname):
Laurie
(Christian Names in Full):
William John
Qualifications:
MD
Address:
6 Barns Street
City/Town:
Ayr
Present Work:
Fully occupied at military Hospital Ayr, Exam of recruits etc.
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:
15/01/1916
To be returned to
The Secretary,
Scottish Medical Service Emergency Committee,
Royal College of Physicians,
Edinburgh.