| Regimental number | 21249 |
| Place of birth | Daylesford Victoria |
| Religion | Presbyterian |
| Occupation | Clerk |
| Address | Ivanhoe, Victoria |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Mrs D Pascoe, 778 Upper Heidelberg Road, Ivanhoe, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Sea Transport Staff |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
