| Regimental number | 2177 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Grocer |
| Address | c/o Mrs Mears, Bondi Junction, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs Rita Marie Agnes Stanford, Hill Street, Orange, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Wing Headquarters, Australian Flying Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
