| Regimental number | 1190 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Groom |
| Address | Ss Wongavilla, c/o Crosby And Co, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | H W Medhurst, 41 Blenheim Crescent, Notting Hill, London, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, F Company |
| AWM Embarkation Roll number | 23/21/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Dermatological Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
