| Regimental number | 3217 |
| Place of birth | Ballarat Victoria |
| Religion | Roman Catholic |
| Occupation | Grocer's driver |
| Address | 408 Lyons Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Aunt, Miss Margaret Rowe, 408 Lyons Street, Ballarat, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 6, Field Ambulance 6, Reinforcement 1 |
| AWM Embarkation Roll number | 26/49/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Casualty Clearing Station |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
