| Regimental number | 1169 |
| Place of birth | Sonsbury |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 121 Scotts Street, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Ann Bevin, Clan Farm, Barany Nantwich Cheshire, EnglandQuay, Cornwall |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, D Company |
| AWM Embarkation Roll number | 23/34/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A32 Themistocles on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
