| Regimental number | 3 |
| Religion | Church of England |
| Occupation | Medical student |
| Address | 'St Arnauds', Park Street, South Yarra, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mrs E A Mackay, 'St Arnauds', Park Street, South Yarra, Victoria |
| Enlistment date | 18 August 1914 |
| Rank on enlistment | Staff Sergeant |
| Unit name | 2nd Field Ambulance |
| AWM Embarkation Roll number | 26/45/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 19 October 1914 |
| Miscellaneous details (Nominal Roll) | see other |