| Date of birth | |
| Place of birth | N/A New South Wales |
| Occupation | Assistant medical officer |
| Address | Bullala, Berry Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, C Ross, Bullala, Berry Street, North Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | Australian General Hospital 2 |
| AWM Embarkation Roll number | 26/66/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A55 Kyarra on |
| Rank from Nominal Roll | Major |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Promotions |
Captain Unit: MED AGH2 Promotion date: |
| Fate | Returned to Australia |