| Regimental number | 16412 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Rose Bay, New South Wales |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Sister, Mrs E R Siddons, 'Rosebank', Albermarle Avenue, Rose Bay, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on |
| Rank from Nominal Roll | Warrant Officer (Class II) |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
