| Regimental number | 9376 |
| Place of birth | Seaham Harbour England |
| Religion | Methodist |
| Occupation | Store manager |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Mary E Waights, c/o G D Pickmering, 8 Atherton Street, east Durham City, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, Reinforcement 15 |
| AWM Embarkation Roll number | 26/44/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A26 Armadale on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
