| Regimental number | 995 |
| Place of birth | Stockton-on-Tees England |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Koyuga, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | A Betts, Koyuga, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Section A |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A35 Berrima on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Corps Headquarters |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
