Robertson, Berkeley
To be filled in by a Practitioner not holding a Commission
REGISTRATION FORM
MEDICAL RECRUITING SCHEME - 1916
Reference Number:
SMC/3/4/1/11 3:4
Name of Practitioner (Surname):
Robertson
(Christian Names in Full):
Berkeley
Qualifications:
MB ChB (Glas) BSC (Glas) DPH (Camb)
Address:
2 Clarence Drive
City/Town:
Glasgow
Present Work:
General practice (Small Panel) a certain amount of eye work on the staff of Glasgow Eye Infirmary & Glasgow Sick Children's Hospital. Three years experience of Tropical Medicine in Nyasaland (1906-1909) Married one child.
Age as at 1st January 1916:
34
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:
30/12/1915
To be returned to
The Secretary,
Scottish Medical Service Emergency Committee,
Royal College of Physicians,
Edinburgh.