| Regimental number | 1014 |
| Place of birth | Melbourne Victoria |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | Bank of Australasia, Korumburra, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | R Wilson, Bank of Australasia, Korumburra, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Section A |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A35 Berrima on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
