Thom, John Allan

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

Reference Number: 
SMC/3/4/1/13 2:3
Name of Practitioner (Surname): 
Thom
(Christian Names in Full): 
John Allan
Qualifications: 
MB ChB (Glasgow University 1903)
Address: 
19 Dalblair Road
City/Town: 
Ayr
Present Work: 

General practioner panel. At present attending 750 panel patients of doctor on military service besides 950 of my own. Married.

Age as at 1st January 1916: 
34
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: 
Note on form
Date Form Signed: 
01/03/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.