| Regimental number | 13669 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Metal worker |
| Address | Hill End, South Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Sister, Miss L M Wilson, 'Como', Hargrave Road, West End, South Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Point Clare Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
