Middleton, John Clark

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

Reference Number: 
SMC/3/4/1/9 9:10
Name of Practitioner (Surname): 
Middleton
(Christian Names in Full): 
John Clark
Qualifications: 
MB ChB (Glas) BSC (Public Health)
Address: 
778 Crow Road
City/Town: 
Glasgow
Present Work: 

General Practitioner with Panel Practice, Clinical assistant to Dr Wm R Jack Royal Infirmary, Lecturer on Clinical Medline in the University of Glasgow, University Assistant to the Professor of Materica Medica University, Glasgow; Assistant Physician, National Red Cross Hospital, Bellahouston, Glasgow.

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: 
19/01/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.