| Regimental number | 8428 |
| Place of birth | Bordertown South Australia |
| Religion | Church of England |
| Occupation | Hairdresser |
| Address | Strathalbyn, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs A M Grubb, Strathalbyn, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 13 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
