| Regimental number | 13743 |
| Religion | Presbyterian |
| Occupation | Dental assistant |
| Address | Kogarah, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Miss B Band, Railway Hotel, Kogarah, NW |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on |
| Fate | No details of fate entered on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
