| Regimental number | 18956 |
| Place of birth | Mandurah Western Australia |
| Religion | Church of England |
| Occupation | Loco driver |
| Address | Midland Junction, Western Australia |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs P Mewburn, Stafford Street, Midland Junction, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Australian General Hospital, 1917 Egypt Reinforcements |
| AWM Embarkation Roll number | 26/101/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian Stationary Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
