| Regimental number | 6424 |
| Place of birth | Mitcham South Australia |
| Religion | Baptist |
| Occupation | Loco fireman |
| Address | Solomontown, Port Pirie, South Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs M H Glenn, Solomontown, Port Pirie, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 12 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board TRANSPORT HMS Malwa on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
