| Regimental number | 12729 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Upholsterer |
| Address | 17 Grenfell Street, Kent Town, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Ida Kennedy, 17 Grenfell Street, Kent Town, South Australia |
| Previous military service | 79th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Field Ambulance |
| AWM Embarkation Roll number | 26/54/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic 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
