| Regimental number | 17374 |
| Place of birth | Melbourne, Victoria |
| Religion | Presbyterian |
| Occupation | Ironmoulder |
| Address | Seddon, Victoria |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs F Bathols, 1 Bell Street, Seddon, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, March 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
