Banks, Henry Stanley

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): 
Banks
(Christian Names in Full): 
Henry Stanley
Qualifications: 
MB, ChB (Glas), DPH (Camb)
Address: 
Burgh Hospital
City/Town: 
Motherwell
Present Work: 

(whole time) Medical Officer of Health, Burgh of Motherwell. Tuberculosis officer, do. Bacteriologist, do. And Resident Superintendent, Burgh Hosp. Motherwell.

Age as at 1st January 1916: 
27
Group A (Under 45) Lieut., R.A.M.C. (general service): 

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.

Date Form Signed: 
27/02/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.