| Regimental number | 22012 |
| Place of birth | Hobart Tasmania |
| Religion | Church of England |
| Occupation | Waiter |
| Address | Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs E A Medhurst, 254 Macquarie Street, Hobart, Tasmania |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Howitzer Brigade 23, Battery 107 |
| AWM Embarkation Roll number | 13/133/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Cornelian Bay Crematorium |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
