| Regimental number | 20509 |
| Date of birth | |
| Place of birth | Broken Hill New South Wales |
| Religion | Methodist |
| Occupation | Assayer |
| Address | Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs L Rogers, 248 Lane Street, Broken Hill, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
| Other details | Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
