Ballantyne, John William

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

Reference Number: 
SMC/3/4/1/2 1:4
Name of Practitioner (Surname): 
Ballantyne
(Christian Names in Full): 
John William
Qualifications: 
MD, FRCPE
Address: 
19 Rothesay Terrace
City/Town: 
Edinburgh
Present Work: 

Consultant, Lecturer and Hospital Physician in Obstetrics and Gynaecology and medical literary worker

Age as at 1st January 1916: 
54
Group B (45 to 55) Part-time home civil work: 
X

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: 

[Next to service categories:] So far as is compatible with my present heavy responsibilities and so long as the work is obstetrical, gynaecological, or literary. *Since the war began I have been doing work for others in the RAMC, and some of my own work has had to be delayed in consequence

Date Form Signed: 
28/12/1915

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.