| Regimental number | 658 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Five Dock, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mrs E Fallard, Minnesoto Avenue, Five Dock, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, B Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Ceramic on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
