| Religion | Methodist |
| Occupation | Nurse |
| Address | Kangaroo Island, South Australia |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs R J Seymour, Penneshaw, Kangaroo Island, South Australia |
| Enlistment date | |
| Rank on enlistment | Staff Nurse |
| Unit name | No 9 Section, Sea Transport Staff |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on |
| Miscellaneous details (Nominal Roll) | see other |