| Religion | Church of England |
| Occupation | Soldier |
| Address | Victoria Barracks, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs A.M. Maycock, 8 Stafford Road, Southampton, England |
| Previous military service | Instl staff |
| Enlistment date | |
| Rank on enlistment | Lieutenant |
| Unit name | Divisional Train Head Quarters |
| AWM Embarkation Roll number | 25/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board TRANSPORT A3 Orvieto on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | 1st Division Train |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
