| Date of birth | |
| Occupation | Medical practitioner |
| Address | Yackandandah, Victoria |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Friend, R H Holland, 56 Willifield Way, Golder's Green, London, England |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashobra on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Promotions |
Captain Unit: MED 4th Fld Amb Promotion date: |
| Fate | Returned to Australia |