Moore, Samuel Johnston

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

Reference Number: 
SMC/3/4/1/9 10:10
Name of Practitioner (Surname): 
Moore
(Christian Names in Full): 
Samuel Johnston
Qualifications: 
MB
Address: 
27 Buckingham Terrace
City/Town: 
Glasgow
Present Work: 

General Practitioner non-panel, at 144 Bath Street City and 27 Buckingham Terrace, Hillhead. Voluntary Hospital dispensary work. [Further information on form]

Age as at 1st January 1916: 
40
Group A (Under 45) Lieut., R.A.M.C. (general service): 

X in red cross

Group B (45 to 55) Part-time home military work: 
X i
Group B (45 to 55) Part-time home civil work: 
X in red cross

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: 

letters attached

Date Form Signed: 
30/12/1915

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.