| Regimental number | 74 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Stanley Street, South Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Miss C Shields, 80 Daddington Grove, Kennington, London, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, A Squadron |
| AWM Embarkation Roll number | 26/46/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Transport A22 Rangatira on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
