| Regimental number | 3555 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Muldapilly P O, via Harrisville, Queensland |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, Charles St Vincent Verrall, Muldapilly P O, via Harrisville, Queensland |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Infantry Brigade 7, Field Ambulance 7, Section A |
| AWM Embarkation Roll number | 26/50/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A11 Ascanius on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
