Sanjana, Darabshaw Fardoonji

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

Reference Number: 
SMC/3/4/1/12 1:5
Name of Practitioner (Surname): 
Sanjana
(Christian Names in Full): 
Darabshaw Fardoonji
Qualifications: 
MD (USA) LRCP; LRCS (Edin) LFP&S (Glas) DPH (Dublin) Dip Trop Med (London)
City/Town: 
Kelty, Fife
Present Work: 

General Practitoner (Panel)

Age as at 1st January 1916: 
43
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: 
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.