| Regimental number | 9170 |
| Religion | Church of England |
| Occupation | Pattern maker |
| Address | Railway Street, Wentworthville |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Mrs Nellie Beauclere, Railway Street, Wentworthville |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Dermatological Hospital |
| AWM Embarkation Roll number | 26/69/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
