| Regimental number | 2056 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Neerim Road, Glenhuntly, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | W A Ralph, Neerim Road, Glenhuntly, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Field Ambulance, Reinforcement 1 |
| AWM Embarkation Roll number | 26/45/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on |
| Regimental number from Nominal Roll | 276 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
