Rank: 
Private
Service number: 
13596
Unit: 
14th Field Ambulance
Location: 
Menin Road South Cemetery, Ypres, Belgium
Menin Road, Ypres, Belgium
Passchendaele, Belgium
Eyewitness to:
Packet number: 
7543
SLSA record number: 
SRG 76/1/7543

From other sources

National Archives of Australia: