| Regimental number | 1103 |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | Malbring, via East Maitland, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mrs E Foster, Malbring, via East Maitland, New South Wales |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 3rd Field Ambulance, 1st Reinforcement |
| AWM Embarkation Roll number | 26/46/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
