| Regimental number | 8627 |
| Place of birth | Lawrence New Zealand |
| Religion | Church of England |
| Occupation | Boilermaker |
| Address | 11 Phillip Street, Kensington, Dunedin, New Zealand |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Sister, Annie Annison, 11 Phillip Street, Kensington, Dunedin, New Zealand |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 4,Field Ambulance 5, Reinforcement 8 |
| AWM Embarkation Roll number | 26/48/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
