
| Regimental number | 328 |
| Address | Bowen Bridge Road, Bowen Bridge, Brisbane, Queensland |
| Age at embarkation | 28 |
| Enlistment date | |
| Rank on enlistment | CPL (AAMC) |
| Unit name | Field Artillery Brigade 3, Head-Quarters |
| AWM Embarkation Roll number | 13/31/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Transport A22 Rangatira on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |