| Religion | Church of England |
| Occupation | Domestic |
| Address | Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, G Champamn, 212 Davey Street, Hobart, Tasmania |
| Enlistment date | |
| Rank on enlistment | Probationary Nurse |
| Unit name | Hospital Transport Corps |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board No 2 Hospital Ship Kanowna on |
| Fate | No details of fate entered on Nominal Roll |