| Regimental number | 4657 |
| Place of birth | Melbourne, Victoria |
| Religion | Roman Catholic |
| Occupation | Ironworker |
| Address | Adderley Street, West Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs Alice Baines, Adderley Street, West Melbourne, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | INF22REIN12 |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
