| Regimental number | 2640 |
| Place of birth | Southampton England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o James Crieth, G P O Brisbane, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | James Creith, G P O Brisbane, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 4th Light Horse Field Ambulance |
| Embarkation details | Unit embarked from on board HMAT A30 Borda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Field Company Engineers |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
