| Regimental number | 4504 |
| Religion | Church of England |
| Occupation | Miner |
| Address | P O Woolgar, Woolgar, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Mary Uren, Woolgar, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 3, Reinforcement 6 |
| AWM Embarkation Roll number | 13/31/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
