| Regimental number | 1002 |
| Religion | Roman Catholic |
| Occupation | Ironmoulder |
| Address | 35 The Avenue, Coburg, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Mrs C Clarke, 1 Adelaide Street, Richmond, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Section A |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A35 Berrima on |
| Regimental number from Nominal Roll | 623 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
