| Regimental number | 4118 |
| Place of birth | Bendigo Victoria |
| Religion | Methodist |
| Occupation | Draper |
| Address | 108 Creek Street, Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | C H Jason, 108 Creek Street, Bendigo, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
