| Regimental number | 5380 |
| Place of birth | Surrey England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Winton, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Miss G R Fryett, 13 Mill Lane, Carshalton Surrey, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
