| Regimental number | 1063 |
| Place of birth | Bendigo Vic |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Patton Street, Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Rebecca Hicks, Patton Street, Broken Hill, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Section B |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board TRANSPORT A35 Berrima on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
