| Regimental number | 622 |
| Place of birth | Sebastapol Victoria |
| Religion | Protestant |
| Occupation | Joiner |
| Address | Albert Street, Sebastopol, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mrs Reynolds, Albert Street, Sebastopol, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, Reinforcement 1 |
| AWM Embarkation Roll number | 26/44/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
