| Regimental number | 187 |
| Place of birth | Prahran Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 109 Williams Road East Prahran, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Clara Ann Powell, 109 Williams Road East Prahran, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Field Ambulance |
| AWM Embarkation Roll number | 26/45/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 1st Division Headquarters |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
