| Regimental number | 11682 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | 13 Holmes Street, Ballarat, North, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | J Clark, 13 Holmes Street, Ballarat, North, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Motor Transport Driver |
| Unit name | Supply Column 3, Army Service Corps 26 |
| AWM Embarkation Roll number | 25/29/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | ACVRP |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
