| Regimental number | 1 |
| Date of birth | |
| Religion | Roman Catholic |
| Occupation | Soldier |
| Address | 183 Eglinton Street, Moonee Ponds, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Mrs Jessie Fraser, 183 Eglinton Street, Moonee Ponds, Victoria |
| Enlistment date | |
| Rank on enlistment | Regimental Sergeant Major |
| Unit name | 7th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/24/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A20 Hororata on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 7th Battalion |
| Promotions |
2nd Lieutenant Unit: 7th Battalion Promotion date: Captain Unit: 38th Battalion Promotion date: |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | No date of fate entered on Nominal Roll. |