| Regimental number | 163 |
| Religion | Congregational |
| Occupation | Steward |
| Address | 72 Upper Ford Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, B Squadron |
| AWM Embarkation Roll number | 26/44/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A14 Euripides on |
| Miscellaneous details (Nominal Roll) | crossed out |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
