Rank: 
Private
Service number: 
1030
Unit: 
4th Field Ambulance
Location: 
Passchendaele, Belgium
Remy Siding, Lijssenthoek, Belgium
Eyewitness to:
Packet number: 
4732
SLSA record number: 
SRG 76/1/4732

From other sources

National Archives of Australia: 

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