| Regimental number | 6912 |
| Place of birth | Adelaide South Australia |
| Religion | Methodist |
| Occupation | Warehouseman |
| Address | 10 Ada Street, off Halifax Street, Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Mrs Hilda W Waterman, 10 Ada Street, off Halifax Street, Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Infantry Brigade, 8th Field Ambulance Sections B and C |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
