| Regimental number | 2919 |
| Place of birth | Faversham England |
| Religion | Church of England |
| Occupation | Broker |
| Address | 76 Forbes Street, Darlinghurst, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Gertie Shave, 76 Forbes Street, Darlinghurst, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Field Ambulance, "B" Section |
| AWM Embarkation Roll number | 26/48/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| 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
