| Regimental number | 1421 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M Bates, 127 King Street, Newtown, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/30/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A38 Ulysses on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
