Army Form B. 178
To be used for recruits enlisting direct into the Regular Army only.
Army Form B. 178A to be used for Special Reserve recruits
and Special Reservists enlisting into the Regular Army.
MEDICAL HISTORY of
Surname Mayersback Christian Name William
MEDICAL INSPECTION REPORT.
(Applicable to all Ranks.)
Name William Mayersback
Apparent age 19 years 8 months.
Height 5 feet 7½ inches.
Chest measurement Girth when fully expanded 33 inches.
Range of expansion 21½ inches.
Vision R 6/6 L 6/6
Physical development fair

Chest measurement will be obtained by adjusting the tape so that its posterior upper edge touches
inferior angles of the shoulder blades, and its anterior lower edge the upper part of the nipples, while the arm hang
loosely by the side.

Certificate of Medical Examination

I have examined the above-named Recruit and find that he does not present any of the causes of rejection
specified in the Regulations. He can see at the required distance with either eye; his hearts and lungs are healthy;
he has the free use of his joints and limbs; he does not suffer from hernia; and declares that he is not subject to
fits of any description.

I consider him fit for the Territorial Force.

Date 28 APR 1915 19  . William ???
Place Camden Town D ?? Brown Lieut R.A.M.C.T. Medical Officer.

NOTE.-Should the Medical Officer consider the Recruit unfit, he will fill in the foregoing certificate only in
the case of those who have been attested and will briefly state below the cause of unfitness.

Certificate of Primary Military Examination

I hereby certify that the above-named Recruit and I consider him fit for
service in the 19th. (County of London) Battn, The London Regt and that due care has been exercised in
his enlistment.

Date 28 APR 1915 19  . C S Williamson Recruiting Officer.
Place Camden Town  
Certificate of Approving Officer

I certify that this Attestation of the above-named Recruit is correct, and
that the required forms appear to have been complied with. I accordingly approve, and appoint him
to 19th. (County of London) Battn, The London Regt

If enlisted by special authority, Army From B. 203 (or other authority for the enlistment) will be attached
to the original attestion.

Date 28 APR 1915 19  . C S Williamson Approving Officer.
Place Camden Town for Major, O.C. Depot,
19th BATTn. LONDON REGT.
HIGH ST., CAMDEN TOWN, N.W.