| Place of birth | London England |
| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M Dolman, 28 College Street, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
