Stephen, Charles Melvin

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

Reference Number: 
SMC/3/4/1/12 4:5
Name of Practitioner (Surname): 
Stephen
(Christian Names in Full): 
Charles Melvin
Qualifications: 
MB ChB
Address: 
Northcote, Dufftown
City/Town: 
Banffshire
Present Work: 

General Practitioner, Panel, Medical officer in charge of wounded in Stephen Cottage Hospital (Auxilary Hospital to 1st Scottish General Hospital) Medical Examiner of Recruits for Dufftown Recruiting Area.

Age as at 1st January 1916: 
39
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: 
05/01/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.