| Date of birth | |
| Occupation | Public servant |
| Address | 192 Esplanade east, Port Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs W T Ross, 99 Auburn Road, Auburn, Victoria |
| Enlistment date | |
| Unit name | Australian Reserve Park 1, Company 10 |
| AWM Embarkation Roll number | 25/34/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 1st Reserve Park |
| Promotions |
Lieutenant Unit: 1st Aust Reserve Park Promotion date: |
| Fate | Returned to Australia |