| Date of birth | |
| Place of birth | Tullamore Ireland |
| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | Corowa, New South Wales |
| Marital status | Married |
| Age at embarkation | 52 |
| Next of kin | Wife, Mrs V Shortt, Corowa, New South Wales |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A57 Malakuta on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Promotions |
Captain Unit: MED Promotion date: |
| Fate | Effective abroad (still overseas) |