| Occupation | Medical practitioner |
| Address | Royal Prince Alfred Hospital, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | J H Clayton, 164 Pitt Street, Sydney, New South Wales |
| Enlistment date | 2 October 1914 |
| Rank on enlistment | Captain |
| Unit name | Australian General Hospital 2 |
| AWM Embarkation Roll number | 26/66/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A55 Kyarra on 28 November 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
