Stevenson, James

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): 
Stevenson
(Christian Names in Full): 
James
Qualifications: 
MB ChB Glas
Address: 
Cora Linn
City/Town: 
Clydebank
Present Work: 

General Practitioner Panel & Non-Panel Surgeon Messrs John Brown & Co Ltd Shipbuilders Clydebank

Age as at 1st January 1916: 
32
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: 
24/12/1915

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.