| Regimental number | 2934 |
| Place of birth | Orange New South Wales |
| Religion | Methodist |
| Occupation | Baker |
| Address | Cole Street, North Goulburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Martha Addison, Cole Street, North Goulburn, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Field Ambulance |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
