
| Regimental number | 11196 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Motor engineer |
| Address | Malvern, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs K Lock, 16 Ackland Street, St Kilda, Victoria |
| Enlistment date | |
| Rank on enlistment | Sergeant |
| Unit name | 3rd Division Ambulance Workshop, 1st Reinforcement |
| AWM Embarkation Roll number | 26/107/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | Australian Army Servic Corps Motor Transport |
| Promotions |
2nd Lieutenant Unit: ASC Mech Transport Promotion date: Lieutenant Unit: ASC (MT) Promotion date: |
| Fate | Returned to Australia |