| Regimental number | 17371 |
| Place of birth | Wiltshire England |
| Religion | Church of England |
| Occupation | Wardsman |
| Address | Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Mrs E Robertson, 63 Wanganui Avenue, Ponsonby, Auckland, NZ |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, March 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on |
| Miscellaneous details (Nominal Roll) | see other |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
