| Place of birth | Beauford England |
| Religion | Church of England |
| Occupation | Wheat exporter |
| Address | 188 Adelaide Terrace, Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Beatrice Minnie Rose, 188 Adelaide Terrace, Perth, Western Australia |
| Enlistment date | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 43rd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/60/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A16 Port Melbourne on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
