| Regimental number | 9428 |
| Place of birth | Bowden South Australia |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Port Road, Bowden, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Lily Richmond, Port Road, Bowden, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 3, Reinforcement 15 |
| AWM Embarkation Roll number | 26/46/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Motor Transport Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
