| Regimental number | 16991 |
| Place of birth | Thurlby, England |
| Religion | Seventh Day Adventist |
| Occupation | Teamster |
| Address | Mooloolah, Queensland |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Violet Mary Smith, Mooloolah, Queensland |
| Enlistment date | |
| Place of enlistment | Brisbane, Queensland |
| Rank on enlistment | Private |
| Unit name | MED26.40.3R24 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Australian General Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
