| Regimental number | 5453 |
| Place of birth | Devizes England |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | Adelaide House, Wilson Street, Kalgoorlie, Western Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs M E Sumner, Adelaide House, Wilson Street, Kalgoorlie, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 9 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
