Rutherford, Samuel

To be filled in by, or on behalf of, Practitioner on
Service.

INTIMATION FORM

Reference Number: 
SMC/3/4/1/11 4:4
Name of Practitioner (Surname): 
Rutherford
Christian Names in Full: 
Samuel
Address: 
The Grange
City/Town: 
Leuzie
Rank in Army (or Navy): 
Capt RAMCT
The above-mentioned Practitioner is on Service as stated

SPECIAL NOTE:

1. Where a Practitioner holds a Commission, but is still at home, this
Intimation Form should be filled in by the Practitioner himself.

2. Where a Practitioner is absent from home on Service, this Intimation Form
should be filled in by some person on his behalf.

 

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.