| Regimental number | 9567 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Stationer |
| Address | Kia Ora, Beaver Street, East Malvern, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, M J Mizon, Kia Ora, Beaver Street, East Malvern, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Auxiliary Hospital |
| Fate | Returned to Australia |
| Date of death |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
