Quigley, James Francis

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): 
Quigley
(Christian Names in Full): 
James Francis
Qualifications: 
MB ChB Glas
Address: 
Rostrevor, Clincarthill
City/Town: 
Rutherglen
Present Work: 

General Practitioner (Panel - about or over 3000) Assistant to Dr AW Russell, Royal Samaritan Hospital

Age as at 1st January 1916: 
28
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.
Additional Information: 
Additional notes on form
Date Form Signed: 
28/02/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.