| Regimental number | 2628 |
| Place of birth | Moonta, South Australia |
| Religion | Methodist |
| Occupation | Carpenter |
| Address | 222 River Terrace, Kangaroo Point, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Rev R Dunstan, 222 River Terrace, Kangaroo Point, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | PTE (Mounted Bearer) |
| Unit name | 4th Light Horse Field Ambulance |
| Embarkation details | Unit embarked from on board HMAT A30 Borda on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Motor Transport Section |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
