| Regimental number | 3846 |
| Place of birth | Gannawarra, Victoria |
| Religion | Church of England |
| Occupation | Health inspector |
| Address | Camden, South Australia |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs A E Amos, Creslyn Terrace, Camden, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 48th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/65/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
