| Regimental number | 1428 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Avenel, Victoria |
| Marital status | Single |
| Age at embarkation | ... |
| Next of kin | ..., Mrs Annie Melbourne, Avenel, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
