| Regimental number | 1001 |
| Place of birth | Brunswick Victoria |
| Religion | Church of England |
| Occupation | Painter |
| Address | 65 Tivoli Road, South Yarra, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mrs E Coulter, 65 Tivoli Road, South Yarra, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Section A |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A35 Berrima on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Rookwood Necropolis |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
