| Regimental number | 9400 |
| Place of birth | Casterton Vic |
| Religion | Church of England |
| Occupation | Shop assistant |
| Address | Henty Street, Casterton, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Aunt, Jane Miller, Henty Street, Casterton, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 2nd Field Ambulance, 15th Reinforcement |
| AWM Embarkation Roll number | 26/45/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
