| Regimental number | 1064 |
| Place of birth | Mintaro South Australia |
| Religion | Methodist |
| Address | Mintaro Central, South Australia |
| Marital status | Widower |
| Age at embarkation | 30 |
| Next of kin | Daughter, Miss Hazel Mary Jean Sargent, c/o Mrs C Grym, Mintaro Central, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, F Company |
| AWM Embarkation Roll number | 23/27/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board Transport A11 Ascanius on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | West Terrace Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
