| Regimental number | 13751 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Assistant analyst |
| Address | North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Aunt, Mrs E Tomlin, 12 Willoughby Street, North Sydney, New South Wales |
| Previous military service | 5th Australian Army Medical Corps |
| 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 | 1st Australian Auxiliary Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
