| Regimental number | 9140 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Traveller |
| Address | North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs J E Puddicombe, 'Bestall', Atchison Street, North Sydney, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Convalescent Depot, Harefield Park, London, and Special Reinforcements (Feb 1915 - March 1916) |
| Embarkation details | Unit embarked from Melbourne, Vic, on board HMAT A63 Karoola on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
