| Regimental number | 19003 |
| Place of birth | York, England |
| Religion | Methodist |
| Occupation | Minister of religion |
| Address | Cooroy, North Coast Line, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Height | 5' 7" |
| Weight | 154 lbs |
| Next of kin | Mother, Mrs M Bean, Slingsby, Yorkshire, England |
| Previous military service | Nil |
| Enlistment date | |
| Place of enlistment | Brisbane, Queensland |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Field Ambulance |
| Fate | Returned to Australia |
| Discharge date | |
| Other details | Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
