| Regimental number | 19561 |
| Place of birth | Footscray Victoria |
| Religion | Roman Catholic |
| Occupation | Cabinet maker |
| Address | Hawthorn, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Mrs E Goodall, 58 Melville Street, Hawthorn, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
