| Regimental number | 20821 |
| Place of birth | Ipswich Queensland |
| Religion | Church of England |
| Occupation | Chemist |
| Address | Townsville, Queensland |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs G A Whitehead, c/o R A Neild, Railway House, Flinders Street, Townsville, Queensland |
| Enlistment date | |
| Rank on enlistment | Staff Sergeant |
| Unit name | MED26.104.4SECT3 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Effective abroad (still overseas) |