| Regimental number | 2852 |
| Place of birth | Clacton-on-sea England |
| Religion | Church of England |
| Occupation | Painter |
| Address | South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Friend, Grace Shephard, 305 Coventry Street, South Melbourne, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 11th Light Horse Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
