| Regimental number | 10110 |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Quirindi, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, H Hines, Church Street, Quirindi, New South Wales |
| Previous military service | 13th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Dermatological Hospital, 4th Reinforcement |
| AWM Embarkation Roll number | 26/103/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Ambulance |
| 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
