| Regimental number | 3675 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Storeman |
| Address | 15 Victoria Street, Goodwood, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs M A Gardner, Goodwood, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 7, Field Ambulance 7, Section B |
| AWM Embarkation Roll number | 26/50/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A2 Geelong on |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Clan Mcewan on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | West Terrace Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
