| Regimental number | 9498 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Japanner |
| Address | 107 Drummond Street, Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Friend, Miss W Hiller, 109 Hellers Street, West Brunswick, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Field Ambulance, 15th Reinforcement |
| AWM Embarkation Roll number | 26/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A43 Barunga on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Light Horse Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
