| Regimental number | 12042 |
| Place of birth | Maitland New South Wales |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | Petersham, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Sister, Miss Jessie Phelan, 197 Old Canterbury Road, Petersham, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 9, Section B |
| AWM Embarkation Roll number | 26/52/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla 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
