
| Date of birth | |
| Religion | Roman Catholic |
| Occupation | Medical practitioner |
| Address | Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs M H MacGillicuddy, 'The Reeks', 11 Hoddle Street, Richmond, Victoria |
| Previous military service | A A M C Reserve |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Promotions |
Captain Unit: MED Promotion date: |
| Fate | Returned to Australia |