
| Regimental number | 17 |
| Place of birth | Warrnambool Victoria |
| Religion | Church of England |
| Occupation | Soldier |
| Address | Victoria Barracks, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Mrs K E Mansell, 392 Clarendon Street, South Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Sergeant |
| Unit name | 2nd Field Ambulance |
| AWM Embarkation Roll number | 26/45/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Warrant Officer (Class I) |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Returned to Australia |
| Medals |
Meritorious Service Medal Source: 'Commonwealth Gazette' No. 67 Date: |