
| Regimental number | 19621 |
| Date of birth | |
| Religion | Church of England |
| Occupation | Farmer |
| Address | 37 Tennyson Street, St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, F D'Ombrain, 37 Tennyson Street, St Kilda, Victoria |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 8, Battery 29 |
| AWM Embarkation Roll number | 13/36/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Other details |
War service: Western Front Was gassed while serving in France and hospitalised in England |
| Date of death |