
| Regimental number | 2024 |
| Place of birth | Port Melbourne Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Rocky Flat, Talbot, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | A B Severs, Beaconsfield Parade, Northcote, 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 |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |