| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Soldier |
| Address | Pitt Street, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs E F W Walsh, c/o Dawson, Waldron and Glover, Pitt Street, Sydney, New South Wales |
| Previous military service | Australian Army Medical Corps |
| Enlistment date | |
| Rank on enlistment | Captain (Medical Officer) |
| Unit name | Siege Artillery Brigade |
| AWM Embarkation Roll number | 13/49/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
