| Regimental number | 174 |
| Religion | Presbyterian |
| Occupation | Railway porter |
| Address | Mt Gambier, South Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, M Henstridge, Mt Gambier, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, B Squadron |
| AWM Embarkation Roll number | 26/46/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board Transport A7 Medic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
