| Regimental number | 9937 |
| Place of birth | Wellington New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Forest Road, via Millthorpe, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Ella Gertrude Nancarrow, Dee Why, via Manly, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Driver |
| Unit name | 9th Field Company Engineers |
| AWM Embarkation Roll number | 14/28/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 9th Field Company Engineers |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 95 Date: |