| Regimental number | 4901 |
| Place of birth | Sydney New South Wales |
| Religion | Presbyterian |
| Occupation | Blacksmiths striker |
| Address | Burns Street, Campsie, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Mrs C Roughley, Belmore, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star of England on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
