
| Regimental number | *21003 |
| Religion | Church of England |
| Occupation | Ambulance |
| Address | National Park, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs D O Bland, 'The Rest', National Park, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Sea Transport Staff Sections 7-8 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on |
| Miscellaneous details (Nominal Roll) | see other |