| Regimental number | 3215 |
| Place of birth | New York United States Of America |
| Religion | Church of England |
| Occupation | Hotelkeeper |
| Address | Commercial Hotel, Gawler Place, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Mother, Mrs Bertha Regal, 648 E Eleventh Street, New York, USA |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 50th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/67/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
