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.