| Date of birth | |
| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | Elsmere, Evans Street, Waverley, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Kate Wiley, Cook Road, Centennial Park, Sydney, New South Wales |
| Rank on enlistment | Captain |
| Unit name | Dermatological Hospital |
| AWM Embarkation Roll number | 26/69/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Lieutenant-Colonel |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Promotions |
Major Unit: No 1 Australian Dermatological Hospital Promotion date: Temporary Lieutenant Colonel Promotion date: Honorary Lieutenant colonel Promotion date: |
| Fate | Effective abroad (still overseas) |
| Discharge date |