| Regimental number | 4079 |
| Place of birth | Malvern England |
| Religion | Church of England |
| Occupation | Baker |
| Address | Campbell Street, West Toowoomba, Queensland |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs. Ambouzena Head, G.P.O., Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/48/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Bakery |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
