| Place of birth | Singleton New South Wales |
| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | Killara, New South Wales |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs N E Stacy, c/o W M Cameron, South Bend, Killara, New South Wales |
| Enlistment date | 29 September 1915 |
| Rank on enlistment | Lieutenant-Colonel |
| Unit name | 2nd Casualty Clearing Station |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Rank from Nominal Roll | Lieutenant-Colonel |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 4 May 1917 |
