| Regimental number | 9905 |
| Place of birth | Haggerston England |
| Religion | Church of England |
| Occupation | Mental warder |
| Address | Goodna, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, C Coombs, 55 Blondel Street, Battersea, London SW, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, 16th Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Army General Hospital |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
