Marshall, Campbell Samson

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): 
Marshall
(Christian Names in Full): 
Campbell Samson
Qualifications: 
MD DPH (Camb) FRFPSG
Address: 
123 Cambridge Drive, Kelvinside North
City/Town: 
Glasgow
Present Work: 

General Practitioner Panel Certifying Surgeon under the Factory and workshop acts, Glasgow central.

Age as at 1st January 1916: 
44
Group B (45 to 55) Part-time home military work: 
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.

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.