| Regimental number | 1707 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Clerk |
| Address | North Quay, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 48 |
| Next of kin | Sister, Mrs A Burkitt, 5 Angel Cottages, Upper Edmonton, London, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Naval and Military Expeditionary Force, Army Medical Corps |
| AWM Embarkation Roll number | 23/112/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Melusia on |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
