| Religion | Church of England |
| Occupation | Physician |
| Address | Palmer Place, North Adelaide, South Australia |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Ivah Gladys Makin, Palmer Place, North Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Major |
| Unit name | 6th Field Ambulance, Officers |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A31 Ajana on |