| Date of birth | |
| Place of birth | Albert Park, Melbourne, Victoria |
| Religion | Presbyterian |
| Occupation | Dental surgeon |
| Address | Albany, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, J Adam, 'Ravenscraig', 133 Dandenong Road, Malvern, Victoria |
| Previous military service | Australian Army Medical Corps Reserve |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Lieutenant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board SS Canberra on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Promotions |
Lieutenant Unit: Dental Corps Promotion date: Temporary CAPT Promotion date: |
| Fate | Returned to Australia |
| Discharge date |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
