| Religion | Church of England |
| Occupation | Medical Practitioner |
| Address | Learmonth, Victoria |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Mrs C A Courtney, Learmonth, Victoria |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | 4th Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A18 Wiltshire on |
| Rank from Nominal Roll | Major |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Recommendations (Medals and Awards) |
Unspecified Recommendation date: |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
