| Regimental number | 16408 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Wardsman |
| Address | Darlinghurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Friend, Mrs S Gilbert, 238 Rotherithe New Road, Bermondsey, London, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
