| Regimental number | 20057 |
| Place of birth | Crookwell New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Dulwich Hill, New South Wales |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs A B Ralph, 104 Constitution Road, Dulwich Hill, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board SS Gaika on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Sanitation Section |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
