| Regimental number | 86 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Medical student |
| Address | 286 Barker's Road, Hawthorn, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Height | 5' 9" |
| Weight | 150 lbs |
| Next of kin | J V Bassett, 286 Barker's Road, Hawthorn, Victoria |
| Previous military service | Served in A.F.A and A.I.F. |
| Enlistment date | |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Field Ambulance, A Squadron |
| AWM Embarkation Roll number | 26/39/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A27 Southern on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
| Discharge date | |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
