| Regimental number | 78 |
| Place of birth | Benalla Victoria |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Mount Street, Preston, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Mrs H S Janman, Mount Street, Preston, Victoria |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 1st Light Horse Field Ambulance, A Squadron |
| AWM Embarkation Roll number | 26/39/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A27 Southern on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
