| Regimental number | 19821 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Independent means |
| Address | Flemington, Victoria |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Sister, Mrs A Fredham, 'Lillfern', Mount Alexander Road, Flemington, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Sea Transport Staff Sections 7-8 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
