| Regimental number | 19362 |
| Religion | Church of England |
| Occupation | Gardener |
| Address | Forest Range, South Australia |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Mother, Mrs Margaret Hackett, Forest Range, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Australian General Hospital, 1917 Egypt Reinforcements |
| AWM Embarkation Roll number | 26/101/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Australian General Hospital |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
