Cullen, George Matheson

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

Reference Number: 
SMC/3/4/1/3 4:6
Name of Practitioner (Surname): 
Cullen
(Christian Names in Full): 
George Matheson
Qualifications: 
MD, BSc
Address: 
50 Minto St.
City/Town: 
Edinburgh
Present Work: 

Medical Officer, National Insurance Commission (Scotland)

Age as at 1st January 1916: 
48
Group B (45 to 55) Lieut., R.A.M.C. (home service): 
X (marked by SMSEC)

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: 

[Written next to Group B:] 'Willing to do any work at home or abroad'

Date Form Signed: 
27/12/1915

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.