| Regimental number | 9717 |
| Religion | Presbyterian |
| Occupation | Electrical engineer |
| Address | Waverley, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, H J William, 'Kent', Macpherson Street, Waverley, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Dermatological Hospital, 3rd Reinforcement |
| AWM Embarkation Roll number | 26/103/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps Details |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
