| Date of birth | |
| Occupation | ... |
| Address | Leigh Creek., Victoria |
| Marital status | Married |
| Age at embarkation | 53 |
| Next of kin | Wife, Mrs J S Lazarus, Leigh Creek, Victoria |
| Enlistment date | |
| Rank on enlistment | Major |
| Unit name | 14th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Major |
| Unit from Nominal Roll | 14th Battalion |
| Promotions |
Major Unit: INF14 Promotion date: |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
