| Regimental number | 1629 |
| Place of birth | Knighton, Wales |
| Religion | Church of England |
| Occupation | Chemist |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Uncle, C Baker, High Street, Knighton, Radnorshire, Wales |
| Enlistment date | |
| Place of enlistment | Brisbane, Queensland |
| Rank on enlistment | Private |
| Unit name | Convalescent Depot, Harefield Park, London |
| AWM Embarkation Roll number | 26/84/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Lance Sergeant |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
