Wallace, William Thomson Merry

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

Reference Number: 
SMC/3/4/1/14 1:4
Name of Practitioner (Surname): 
Wallace
(Christian Names in Full): 
William Thomson Merry
Qualifications: 
MB CM Glas
Address: 
51 Loughborough Road
City/Town: 
Kirkcaldy
Present Work: 

Panel & Private

Age as at 1st January 1916: 
47
Group B (45 to 55) Lieut., R.A.M.C. (home 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: 

Additional notes on form

Date Form Signed: 
25/12/1915

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.