Proudfoot, Robert Butter

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

Reference Number: 
SMC/3/4/1/10 3:3
Name of Practitioner (Surname): 
Proudfoot
(Christian Names in Full): 
Robert Butter
Qualifications: 
MD MB CM
Address: 
80 St Clair[?] Street
City/Town: 
Kirkcaldy[?]
Age as at 1st January 1916: 
57
Group C (56 and Upwards) Part-time home civil 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.

Date Form Signed: 
31/12/1915

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.