| Regimental number | 3516 |
| Place of birth | Albury New South Wales |
| Religion | Roman Catholic |
| Occupation | Dentist |
| Address | Holbrook, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Mrs Annie Bent, Spring Valley, Holbrook, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | June 1917 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
