| Regimental number | 17936 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | Surry Hills, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Julia Ambrose, 18 Prospect Street, Surry Hills, New South Wales |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | 1st and 2nd Field Troops |
| AWM Embarkation Roll number | 14/36/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
