MacKenzie, Ewan[?] Kenneth

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

Reference Number: 
SMC/3/4/1/9 4:10
Name of Practitioner (Surname): 
MacKenzie
(Christian Names in Full): 
Ewan[?] Kenneth
Qualifications: 
MD (Aberdeen)
Address: 
Shandwick House
City/Town: 
Tain
Present Work: 

General Practitioner (panel), medical Officer of Health to Easter Ross District (in place of Dr JD MacRae, Alness - on War Service) Civilian Medical Officer to Troops at Fearn & Tain.

Age as at 1st January 1916: 
32
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: 
23/12/1915

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.