| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | Surrey Hills, Victoria |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs E Merrillees, Salisbury Street, Surrey Hills, Victoria |
| Enlistment date | 23 December 1916 |
| Date of enlistment from Nominal Roll | 23 November 1916 |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Major |
| Unit from Nominal Roll | 4th Division Engineers |
| Fate | Effective abroad (still overseas) |
