
| Date of birth | |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | St Peters, South Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Pn F Verco, 98 Payneham Road, St Peters, South Australia |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Promotions |
Captain Unit: MED Promotion date: |
| Fate | Returned to Australia |