| Regimental number | 2065 |
| Place of birth | Hawthorn Victoria |
| Occupation | Fitter |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mrs E R Roots, 103 Webster Street, Ballarat, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 1 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Fawkner Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
