| Regimental number | 217 |
| Religion | Roman Catholic |
| Occupation | Draper |
| Address | 108 Park Street, South Yarra, Victoria |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Aunt, Katherine Ford, Battery Point, Hobart, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Field Ambulance, 6th Reinforcement |
| AWM Embarkation Roll number | 26/41/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
