Leitch, John Gibson

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

Reference Number: 
SMC/3/4/1/8 2:3
Name of Practitioner (Surname): 
Leitch
(Christian Names in Full): 
John Gibson
Qualifications: 
MD
Address: 
Wester Bogwhapple[?] by Thornhill
City/Town: 
Perthshire
Present Work: 

General Practitioner Panel, Retired 1894

Age as at 1st January 1916: 
71
Group C (56 and Upwards) Part-time home civil work: 
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: 
23/02/1912

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.