| Regimental number | 109 |
| Place of birth | Melbourne Victoria |
| Religion | Methodist |
| Occupation | Engineer |
| Address | 127 Collins Street, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | M W Thomson, 127 Collins Street, Melbourne, Victoria |
| Previous military service | 64th Battalion Senior Cadets |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Field Ambulance, A Squadron |
| AWM Embarkation Roll number | 26/39/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A27 Southern on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
