| Regimental number | 21A |
| Place of birth | South Yarra, Victoria |
| Religion | Presbyterian |
| Occupation | Railway employee |
| Address | South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs E Dick, 267 Dorcas Street, South Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on |
| Regimental number from Nominal Roll | 21 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
