| Regimental number | 164 |
| Place of birth | Norwood, South Australia |
| Religion | Church of England |
| Occupation | Painter |
| Address | 120 Beulah Road, Norwood, South Australia |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs M Conly, 120 Beulah Road, Norwood, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, B Squadron |
| AWM Embarkation Roll number | 26/46/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board Transport A7 Medic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Newcastle Memorial Park Cemetery & Crematorium |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
