| Regimental number | 4194 |
| Place of birth | Liverpool England |
| Religion | Church of England |
| Occupation | Wharf labourer |
| Address | Miss Nellie Mason, 28 Browning Street, Moonee Ponds, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Friend, Miss Nellie Mason, 77 Princes Street, Carlton, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Coburg Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
