Smart, Thomas William

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

Reference Number: 
SMC/3/4/1/12 2:5
Name of Practitioner (Surname): 
Smart
(Christian Names in Full): 
Thomas William
Qualifications: 
MB ChB Edin
Address: 
Dalchuirn
City/Town: 
Lochcarron
Present Work: 

Medical Officer (Poor Law) and assistant MOH; MOH Post Officer Panel, etc, under agreement with H&I(MS)B Single practice area.

Age as at 1st January 1916: 
30
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: 

Letters attached

Date Form Signed: 
03/02/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.