| Regimental number | 4129 |
| Religion | Methodist |
| Occupation | Chemist's assistant |
| Address | 3 Clifton Street, Malvern, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mrs E Rettallick, 3 Clifton Street, Malvern, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 7 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes 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
