| Regimental number | 9073 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Driver |
| Address | Alexandria, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Mrs Codellia Little, 6 Wyndham Street, Alexandria, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 8, Reinforcement 3 |
| AWM Embarkation Roll number | 26/51/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A70 Ballarat on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
