| Regimental number | 12777 |
| Place of birth | Broken Hill New South Wales |
| Religion | Presbyterian |
| Occupation | Clerk |
| Address | Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Mrs E E Wallace, c/o W H Harris, William Lane, off Iodide Street, Broken Hill, New South Wales |
| Previous military service | 19th Australian Army Medical Corps |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Field Ambulance |
| AWM Embarkation Roll number | 26/54/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Stirling Cemetery, South Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
