| Regimental number | 612 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Hospital attendant |
| Address | PO, East Greta, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | G Watts, PO, East Greta, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, A Company |
| AWM Embarkation Roll number | 23/21/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
