| Regimental number | 4092 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, C Anthony, 170 Mitchell Road, London, England |
| Enlistment date | |
| Place of enlistment | Liverpool, New South Wales |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, Reinforcement 7 |
| AWM Embarkation Roll number | 26/44/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
