| Regimental number | 9966 |
| Place of birth | London England |
| Religion | Roman Catholic |
| Occupation | Commercial traveller |
| Address | Cairo Street, Rockdale, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, E E Dicken, Cairo Street, Rockdale, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, 16th Reinforcement |
| AWM Embarkation Roll number | 26/66/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star of Victoria on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
