| Regimental number | 16711 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 'Win Via', Seaview Crescent, Black Rock, Victoria |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Margaret Ann Glover, 'Win Via', Seaview Crescent, Black Rock, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Field Ambulance, 23rd Reinforcement |
| AWM Embarkation Roll number | 26/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A25 Anglo-Egyptian on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Australian General Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
