| Regimental number | 13301 |
| Place of birth | Geelong Vic |
| Religion | Church of England |
| Occupation | Bank clerk |
| Address | Geelong, Victoria |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs O.R. Hitchins, 'Ommaru', Laurel Bank Parade, Newtown, Geelong, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A63 Karoola on |