| Regimental number | 8531 |
| Place of birth | Ipswich Queensland |
| Religion | Congregational |
| Occupation | Dairyman |
| Address | Southport, Queensland |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs C T Rose, Southport, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Australian General Hospital, 13th Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
