| Occupation | Medical practitioner |
| Address | View Street, Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Mabel Jackson, c/o H E Sanger, Short Street, Bendigo, Victoria |
| Enlistment date | 20 August 1914 |
| Rank on enlistment | Captain (Medical Officer) |
| Unit name | 8th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/25/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A24 Benalla on 19 October 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
