Malcolm, John

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

Reference Number: 
SMC/3/4/1/9 7:10
Name of Practitioner (Surname): 
Malcolm
(Christian Names in Full): 
John
Qualifications: 
MB CM Aberdeen Uni
Address: 
Forbes Cottage
City/Town: 
Alford, Aberdeenshire
Present Work: 

Locum - General Practitioner panel [In red: non panel (see footnote]

Age as at 1st January 1916: 
50
Group B (45 to 55) Lieut., R.A.M.C. (home service): 
X red circle outside margin
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.
Additional Information: 
Additonal notes on form
Date Form Signed: 
29/12/1915

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.