| Regimental number | 20028 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | Camperdown, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs A M Gardiner, 36 Park Avenue, Camperdown, New South Wales |
| Enlistment date | 23 November 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Effective abroad (still overseas) |
