Rank: 
Private
Service number: 
12687
Unit: 
11th Field Ambulance
Location: 
Ypres Reservoir Cemetery, Belgium
Date of Death: 
13 October 1917
Packet number: 
6406
Date range: 
1917-1918
SLSA record number: 
SRG 76/1/6406

From other sources

National Archives of Australia: 

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