| Regimental number | 1643 |
| Place of birth | St George Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mungindi, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Lavina Ellen Egan, Mungindi, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Regimental number from Nominal Roll | 1643B |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
