| Regimental number | 4865 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 80 Queen Victoria Road, Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs Annie Georgina Price, 80 Queen Victoria Road, Fremantle, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Australian General Hospital, Special Reinforcements (Hospital and Convalescent Home) |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A62 Wandilla 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
