| Religion | Church of England |
| Occupation | Government Veterinary Surgeon |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs A Oliver, 48 Arthur Street, North Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Prov. Capt. (Veterinary Officer) |
| Unit name | 1st Light Horse Regiment, Headquarters |
| AWM Embarkation Roll number | 10/6/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star Of Victoria on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
