| Regimental number | 58124 |
| Place of birth | Grenfell New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | c/o Mrs Graham, Smith Street, Wollongong, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Mrs J Jackson, Reservoir Street, Reservoir, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th (Queensland) Reinforcements |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A41 Bakara on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Depot Unit of Supply |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Rookwood Crematorium |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
