| Regimental number | 17622 |
| Place of birth | Stawell Victoria |
| Religion | Methodist |
| Occupation | Accountant |
| Address | Toorak, Victoria |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Mrs E Nevile, Queen's Crescent, Mount Lawley, Perth, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, March 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
