| Place of birth | Folkestone England |
| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | Cottesloe, Western Australia |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs E Blackall, corner View and Leake Streets, Cottesloe, Western Australia |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corp |
| Recommendations (Medals and Awards) |
Unspecified 'Work on somme, 1918.' Recommendation date: |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
