| Regimental number | 6917 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Wheeler |
| Address | Hellensburgh, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Friend, Mrs Elizabeth Ann Collins, Cox Road, Hellensburgh, New South Wales |
| Previous military service | 37th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/36/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *second given name is Ambrose |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
