
| Date of birth | |
| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | Avondale Road, Armadale, Victoria |
| Marital status | Widower |
| Age at embarkation | 35 |
| Next of kin | Aunt, Margaret Mears Henty, Avondale Road, Armadale, Victoria |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | No 3 Australian General Hospital |
| AWM Embarkation Roll number | 26/67/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Promotions |
Captain Unit: MED AGH3 Promotion date: |
| Fate | Returned to Australia |