| Occupation | Pharmacist |
| Address | 'Givelo', Bland Street, Haberfield, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Adelaide Blanche Gray, 'Givelo', Bland Street, Haberfield, New South Wales |
| Enlistment date | |
| Rank on enlistment | HON CAPT & QM |
| Unit name | Australian General Hospital 2 |
| AWM Embarkation Roll number | 26/66/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A55 Kyarra on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
