| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | Ballarat, Victoria |
| Marital status | Married |
| Age at embarkation | 48 |
| Next of kin | Wife, Mrs A Richards, 334 Lydiard Street, North Ballarat, Victoria |
| Previous military service | A A M C Reserve |
| Enlistment date | |
| Rank on enlistment | Captain (Honorary Major) |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |