Robertson, John Keith Alexander

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

Reference Number: 
SMC/3/4/1/11 4:4
Name of Practitioner (Surname): 
Robertson
(Christian Names in Full): 
John Keith Alexander
Qualifications: 
Md ChB
Address: 
14 Eldon Street
City/Town: 
Greenock
Present Work: 

General Practitioner (private and panel) Surgeon General Hospital. Assistant Eye Infirmary and Nose Ear Throat Dispensary. Physically unfit. Hold a blue form under Derby Scheme.

Age as at 1st January 1916: 
37

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: 
23/12/1915

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.