| Regimental number | 16969 |
| Place of birth | Moonta South Australia |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Carramulka, South Australia |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Miss Edith Polkinghorne, Carramulka, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Camel Field Ambulance Reinforcement 1 |
| AWM Embarkation Roll number | 26/60/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian Stationary Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
