| Regimental number | 2022 |
| Place of birth | Terang Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Terang, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Mrs S Rutter, Glenormaston, Victoria |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Field Ambulance 4, Section A |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A35 Berrima on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
