| Regimental number | 9369 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Cook |
| Address | Bardwell Road, Mosman, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs Esther Lawrence, Bardwell Road, Mosman, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, Reinforcement 15 |
| AWM Embarkation Roll number | 26/44/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A26 Armadale on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Field Ambulance |
| Fate | Returned to Australia |
| Other details |
War service: Middle east Medals: British War Medal, Victory Medal |