| Regimental number | 1110 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Dental mechanic |
| Address | Denvar Street, Woollahra |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, 'Marion', Denvar Street, Woollahra, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, C Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
