Place of birth | Melbourne, Victoria |
Religion | Church of England |
Occupation | Medical practitioner |
Address | Ballarat, Victoria |
Age at embarkation | 49 |
Next of kin | Wife, Mrs E B Champion, 16 Victoria Street, Ballarat, Victoria |
Enlistment date | |
Rank on enlistment | Captain |
Unit name | Medical Officers |
Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on |
Fate | No details of fate entered on Nominal Roll |