| Regimental number | 5632 |
| Place of birth | Ballarat East Victoria |
| Religion | Church of England |
| Occupation | Plumber |
| Address | 19 Stock Street, Ballarat East, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Grandparent, Mrs E Lowe, 19 Stock Street, Ballarat East, Victoria |
| Previous military service | 70th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 6, Field Ambulance 6, Reinforcement 5 |
| AWM Embarkation Roll number | 26/49/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
