Mason, Archibald

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

Reference Number: 
SMC/3/4/1/9 8:10
Name of Practitioner (Surname): 
Mason
(Christian Names in Full): 
Archibald
Qualifications: 
MD DPH
Address: 
8 Portland Road
City/Town: 
Kilmarnock
Present Work: 

General Practitioner & Panel - Medical Officer of Parish Police Surgeon Tubercolosis Referee Medical attendant Kaimshill Sanatorium and smallpox Hospital

Age as at 1st January 1916: 
41
Group A (Under 45) Lieut., R.A.M.C. (general service): 
Empty red circle - see note
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: 
Note attached to form. Form not signed or dated but note dated 9-2-1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.