| Regimental number | 654 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Painter |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Miss Ethel Maud Ingram, Church Street, Windsor, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian General Hospital 2 |
| AWM Embarkation Roll number | 26/66/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
