| Religion | Methodist |
| Occupation | Dentist mechanic |
| Address | 123 Grey Street, St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs M A Richardson, c/o Mrs A Hayes, Conara, Tasmania |
| Enlistment date | |
| Rank on enlistment | Staff Sergeant |
| Unit name | No 3 Australian General Hospital |
| AWM Embarkation Roll number | 26/67/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on |