| Religion | Roman Catholic |
| Occupation | Medical practitioner |
| Address | Elsternwick, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Aunt, Mrs A Wall, 'Merton', North Road, Elsternwick, Victoria |
| Previous military service | A A M C Reserve |
| 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 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |