| Regimental number | 4774 |
| Place of birth | London England |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs C Cane, 40 Rook Street, Poplar London, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
