| Regimental number | 927 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 414 Queen Street, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Aunt, Mrs Johnson, 26 Oakey Road, London North, England |
| Enlistment date | |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Driver |
| Unit name | 1st Light Horse Field Ambulance, 1st Reinforcement |
| AWM Embarkation Roll number | 26/39/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 14th Australian General Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
