| Regimental number | 13772 |
| Place of birth | Islington England |
| Religion | Church of England |
| Occupation | Hospital orderly |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs J Ellen, St Mary's Church, Woolnoth, Lombard Street, London, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna 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
