| Regimental number | 1350 |
| Religion | Roman Catholic |
| Occupation | Mechanical engineer |
| Address | c/o Thos Gormon, Walcott Street, North Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Thomas Gormon, Walcott Street, North Perth, Western Australia |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Field Ambulance 4, Section C |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A31 Ajana 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
