| Regimental number | 4403 |
| Place of birth | Burmah Victoria |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | 581 Elizabeth Street, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister, Ellen Mary Fortune, 581 Elizabeth Street, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Malwa on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Burwood Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
