| Regimental number | 13756 |
| Place of birth | Jerilderie New South Wales |
| Religion | Roman Catholic |
| Occupation | Chemist's assistant |
| Address | Balmain, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Friend, Miss D Rayner, 1 Rowntree Street, Balmain, New South Wales |
| Previous military service | 4th Battery Australian Field Artillery |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Date of death | |
| Place of burial | Albury Old Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
