| Regimental number | 21756 |
| Religion | Church of England |
| Occupation | Waiter |
| Address | Elsternwick, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs P H M Marshall, 1 East Terrace, Glen Eira Road, Elsternwick, Victoria |
| Enlistment date | |
| 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 | Australian Army Medical Corps |
| Fate | Returned to Australia |