
| Regimental number | 6033 |
| Religion | Methodist |
| Occupation | Local Government clerk |
| Address | Ashfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Sister, Miss H Harrison, 28 Orpington Street, Ashfield, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital 1-6 Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Miscellaneous details (Nominal Roll) | see other |