| Place of birth | Waverley New South Wales |
| Religion | Roman Catholic |
| Occupation | Medical practitioner |
| Address | 'San Jose', Tanks Street, Bay Road, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, Mother, W C Gardner, Note - all advices to be sent to mother, Mrs M Gardner, 'San Jose', Tanks Street, Bay Road, North Sydney, New South Wales |
| Previous military service | A A M C Reserve |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | Australian Naval & Military Expeditionary Force Reinforcements, March 1915 to May 1919 |
| AWM Embarkation Roll number | 23/112/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Marsina on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
