| Description Of Item | The forms give the name of the practitioner; date and year of birth; marital status; date and place of last medical examination; whether enrolled or voluntarily attested; address; if member of staff of a hospital or medical school in or near London state which; occupation if not in professional practice; address of practice; nature of application, whether original or a renewal or variation of a certificate; grounds on which application made from a list of five; and reasons in support of the application. The form was duplicated on a second page and any supporting documents had to be provided in duplicate. There are 116 applications. |