Shanks, Seymour Cochrane

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): 
Shanks
(Christian Names in Full): 
Seymour Cochrane
Qualifications: 
MB Ch B Glasgow
Address: 
Raisdale
City/Town: 
Barhead, Renfrewshire
Present Work: 

Recent grad living at home. Held commision as Temporary Lieut RAMC from 18.10.15 till 18.10.16. Resigned commission on termination of contract on account of ill health (not invalided out of service)

Age as at 1st January 1916: 
22
Group A (Under 45) Lieut., R.A.M.C. (general service): 
X
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: 
Notes on form
Date Form Signed: 
27/10/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.