| Regimental number | 2057 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 239 Lydiard Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mrs B B Brown, 239 Lydiard Street, Ballarat, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Field Ambulance, Reinforcement 1 |
| AWM Embarkation Roll number | 26/45/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima 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
