| Regimental number | 9141 |
| Place of birth | Surrey England |
| Religion | Church of England |
| Occupation | Artist |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 45 |
| Next of kin | Sister, Mrs L Page, c/o W P Mackintosh, Percival Road, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Convalescent Depot, Harefield Park, London, and Special Reinforcements (Feb 1915 - March 1916) |
| Embarkation details | Unit embarked from Melbourne, Vic, on board HMAT A63 Karoola on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
