| Regimental number | 12296 |
| Place of birth | Bourke Victoria |
| Religion | Presbyterian |
| Occupation | Electrician |
| Address | 3 Harrison Crescent, Hawthorn, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Kate Lauer, 3 Harrison Crescent, Hawthorn, Victoria |
| Previous military service | 29th A L H |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 10 |
| AWM Embarkation Roll number | 26/53/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Fate | No details of fate entered on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
