| Regimental number | 9623 |
| Place of birth | South Yarra Victoria |
| Religion | Presbyterian |
| Occupation | Boundary rider |
| Address | Mont Victor Road, East Kew, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs L Warne, Mont Victor Road, East Kew, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Driver |
| Unit name | Army Service Corps 18, Reinforcement 3 |
| AWM Embarkation Roll number | 25/37/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 14th Company, Australian Army Service Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
