| Religion | Methodist |
| Occupation | Medical practitioner |
| Address | 'Camilla', Pleasant Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | James Pearce, 'Camilla', Pleasant Street, Ballarat, Victoria |
| Enlistment date | |
| Rank on enlistment | Captain (Medical Officer) |
| Unit name | Australian Casualty Clearing Station 2 |
| AWM Embarkation Roll number | 26/63/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
