| Regimental number | 8212 |
| Religion | Methodist |
| Occupation | Student |
| Address | Coleraine, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mrs Remington, Gage Street, Coleraine, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital 1-6 Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
