
| Date of birth | |
| Religion | Church of England |
| Occupation | Doctor |
| Address | Bulli, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Sister, Mrs Annie Wilson, 218 Victoria Street, Darlinghurst, New South Wales |
| Enlistment date | |
| Rank on enlistment | Captain (Medical Officer) |
| Unit name | 36th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/53/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Rank from Nominal Roll | Major |
| Unit from Nominal Roll | AACC |
| Promotions |
Major Unit: No 2 Australian Auxiliary Hospital Promotion date: |
| Recommendations (Medals and Awards) |
Unspecified Recommendation date: |
| Fate | Discharged |