| Regimental number | 16779 |
| Place of birth | Liverpool England |
| Religion | Church of England |
| Occupation | Engine driver |
| Address | Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs M C Laver, 4 Mill Street, Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | January 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A45 Bulla on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Omrah on |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A33 Ayrshire on |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A48 Seang Bee on |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A70 Ballarat on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
