| Regimental number | 2694 |
| Place of birth | Bordertown, South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | c/o Mrs Mary Uren, 48 George Street, Norwood, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Grandparent, Mrs Mary Uren, 48 George Street, Norwood, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Field Ambulance |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on |
| Regimental number from Nominal Roll | L/CPL |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | 3rd Field Ambulance |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
