| Regimental number | 14617 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Miner |
| Address | Kadina, South Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs A M M Nolan, 58 Angus Street, Adelaide, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Field Ambulance |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Centennial Park Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
