| Regimental number | 9711 |
| Religion | Church of England |
| Occupation | Hospital wardsman |
| Address | South Maitland, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Miss A Anderson, 142 Elgin Street, South Maitland, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Dermatological Hospital, 3rd Reinforcement |
| AWM Embarkation Roll number | 26/103/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
