| Regimental number | 4182 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Miss C Rennie, 164 Eastern Avenue, Kensington, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Sister, Mrs E Noble, Albert Street, Whangerie, New Zealand |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 4,Field Ambulance 5, Reinforcement 2 |
| AWM Embarkation Roll number | 26/48/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A21 Marere on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
