| Date of birth | |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs L Retallack, 'Carn Brea', Millers Street, North Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A24 Benalla on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Promotions |
Captain Unit: MED Promotion date: |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |