| Regimental number | 6779 |
| Place of birth | North Cumberland England |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | c/o R C Gustard, Morgan Street, Nerewether, New South Wales |
| Marital status | Married |
| Age at embarkation | 20 |
| Next of kin | Wife, Mrs Hilda M Mason, c/o R C Gustard, Morgan Street, Nerewether, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Infantry Brigade, 8th Field Ambulance Sections B and C |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
