
| Regimental number | 209 |
| Date of birth | |
| Place of birth | Donald, Victoria |
| Religion | Church of England |
| Occupation | Dentist |
| Address | Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, W Vernon, High Street, Glen Iris, Victoria |
| Enlistment date | |
| Rank on enlistment | Sergeant |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Major |
| Unit from Nominal Roll | Australian Army Medical Corps Dental Service |
| Promotions |
HON LT Unit: MED Dental Corps Promotion date: HON CAPT Unit: Dental Corps Promotion date: Captain Unit: Dental Corps Promotion date: Major Unit: Dental Corps Promotion date: |
| Fate | Returned to Australia |
| Discharge date |