
| Regimental number | 8048 |
| Religion | Church of England |
| Occupation | Registrar |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, W Brown, 27 Valentine Road, Cranbrook Park, Ilford, Essex, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital 1-6 Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Miscellaneous details (Nominal Roll) | see other |