| Regimental number | 17043 |
| Place of birth | Bramton N/A |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Woollahra, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs A S Long, 'Narollah', Vivian and Rivers Street, Bellevue Hill, Woollahra, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps February 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
