| Regimental number | 13616 |
| Place of birth | Surrey England |
| Religion | Roman Catholic |
| Occupation | Mental nurse |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Mrs C Halliday, 4 Cambridge Villa, Carshalton Road, Carshalton, Surrey, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Field Ambulance |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Nudgee Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
