| Regimental number | *21074 |
| Place of birth | Launceston Tasmania |
| Religion | Church of England |
| Occupation | Soldier |
| Address | Randwick, New South Wales |
| Marital status | Married |
| Age at embarkation | 46 |
| Next of kin | Wife, Mrs M A Lawrence, 7 Govett Street, Randwick, New South Wales |
| Previous military service | Inst Staff |
| Enlistment date | |
| Rank on enlistment | Warrant Officer (Class II) |
| Unit name | Army Medical Corps, Sea Transport Staff, Section 10 (Mental) |
| AWM Embarkation Roll number | 26/104/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic 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
