| Regimental number | 3967 |
| Place of birth | Mansfield Victoria |
| Religion | Roman Catholic |
| Occupation | Stockman |
| Address | 282 Oxford Street, Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | W H Walter, 282 Oxford Street, Paddington, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Field Ambulance 1st Reinforcements, C Section |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A11 Ascanius on |
| Regimental number from Nominal Roll | 4591 |
| Rank from Nominal Roll | Quartermaster Sergeant |
| Unit from Nominal Roll | 1st Troop Company Engineers |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
