| Regimental number | R217 |
| Religion | Roman Catholic |
| Occupation | Salesman |
| Address | 108 Park Street, South Yarra, Victoria |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Aunt, Mrs Catherine Ford, Kelly Street, Battery Point, Hobart, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Field Ambulance, 16th Reinforcement |
| AWM Embarkation Roll number | 26/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Malwa 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
