| Regimental number | 6179 |
| Place of birth | Lancashire, England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Scarborough, South Coast, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Elizabeth Jones, 79a Scholefield Lane, Wigan Lancashire, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/34/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Kit Stores |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
