| Regimental number | 1050 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Hospital attendant |
| Address | Adelaide Hospital, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Brother, J Earl, c/o Mr Tait, Oaklands, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Section B |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board TRANSPORT A35 Berrima on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
