| Regimental number | 6173 |
| Place of birth | Preston England |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Pithara, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Cousin, Miss Cissie Welburn, Coral Street, Lingdale, Cleveland, Yorkshire, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
