| Regimental number | 14221 |
| Place of birth | Albert Park, Victoria |
| Religion | Church of England |
| Occupation | Dental mechanic |
| Address | Upper Hawthorn, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, G Doreian, 'Umina', Barkers Road, Upper Hawthorn, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Army Dental Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
