| Regimental number | 145A |
| Religion | Church of England |
| Occupation | Jackeroo |
| Address | 617 Darling Street, Rozelle, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs S Jane, 617 Darling Street, Rozelle, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | MED26.65.2R.A |
| Regimental number from Nominal Roll | 145 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia |