| Regimental number | 12262 |
| Place of birth | Ballarat, Victoria |
| Religion | Roman Catholic |
| Occupation | Student School of Mines |
| Address | 22 Errard Street, North Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Sister, Mrs E M Cother, 22 Errard Street, North Ballarat, Victoria |
| Previous military service | 71st Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 10 |
| AWM Embarkation Roll number | 26/53/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Motor Transport Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
