| Regimental number | 18757 |
| Place of birth | Sydney New South Wales |
| Religion | Congregational |
| Occupation | Dental assistant |
| Address | Long Bay, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Aunt, Mrs L Smith, 1 Beeton Road, Sheffield, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT SS Indarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
