Govan, Robert

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

Reference Number: 
SMC/3/4/1/5 3:4
Name of Practitioner (Surname): 
Govan
(Christian Names in Full): 
Robert
Qualifications: 
MB ChB
Address: 
Edinburgh War Hospital
City/Town: 
Bangour
Present Work: 

Home Physician to Edinburgh War Hospital. Tuberculosis Officer to the Borough of Bermondsey, London and Med. Off. to Bermondsey, Tuberculosis Dispensary. On leave from these appointments during the duration of war.

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.

Date Form Signed: 
22/06/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.