| Regimental number | 4068 |
| Religion | Church of England |
| Occupation | Dentist |
| Address | Summer Hill, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mrs Thomas Williams, St Elmo, Summer Hill, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | MED26.65.2R6 |
| Miscellaneous details (Nominal Roll) | see other |