| Regimental number | 6490 |
| Place of birth | CharltonVIC |
| Religion | Methodist |
| Occupation | Carpenter |
| Address | Charlton, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Mrs D Middley, 45 Nott Street, Port Melbourne, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Fawkner Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
