| Regimental number | 1755 |
| Religion | Church of England |
| Occupation | Wardsman |
| Address | Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Friend, A Collier, General Hospital, Toowoomba, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital 1-6 Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
