Richards, Charles Basil

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

Reference Number: 
SMC/3/4/1/11 2:4
Name of Practitioner (Surname): 
Richards
(Christian Names in Full): 
Charles Basil
Qualifications: 
LRCP LRCS & LFPSG
City/Town: 
Bridge of Allan
Present Work: 

general Practitioner - Taking duty for both Dr Welsh & Dr Mitchell (on service) 2 panels. Can hardly do more work

Age as at 1st January 1916: 
53
Group B (45 to 55) Locum Tenens: 
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: 
Note on form
Date Form Signed: 
24/12/1915

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.