| Regimental number | 1264 |
| Place of birth | Bendigo Victoria |
| Religion | Church of England |
| Occupation | Machinist |
| Address | Barker Road, Subiaco, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | J N Shipton, Industrial Schools, Subiaco, Western Australia |
| Previous military service | 22nd Army Medical Corps |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Stationary Hospital 2 |
| AWM Embarkation Roll number | 26/71/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A55 Kyarra on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
