| Regimental number | 96 |
| Religion | Roman Catholic |
| Occupation | Engineer |
| Address | 9 Vaughan Street, Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Daphne Mohn c/o Mrs W Brooks, Edgarton, via Wonthaggi, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Field Ambulance, A Squadron |
| AWM Embarkation Roll number | 26/39/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A27 Southern on |
| Regimental number from Nominal Roll | 14143 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Casualty Clearing Station |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
