| Regimental number | 5069 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 54 Spit Road, Mosman, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Mrs N Keyworth, Stowbridge Road, Bromsgrove, Worcestershire, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star Of Victoria on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
