| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | Point Piper, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs M M Fairfax, 'Woniora', Wolseley Road, Point Piper, New South Wales |
| Enlistment date | |
| Rank on enlistment | Major |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Rank from Nominal Roll | Lieutenant-Colonel |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
