| Regimental number | 406 |
| Place of birth | Dover, England |
| Religion | Church of England |
| Occupation | Seaman |
| Address | c/o Miss Louie Lloyd, 13 King Street, Balmain, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Friend, Fred Potts, 10 Alexander Place, Buckland, Dover, Kent, England |
| Enlistment date | |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 9, Reinforcement 5 |
| AWM Embarkation Roll number | 24/14/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
