| Regimental number | 4204 |
| Place of birth | Carlton Victoria |
| Religion | Methodist |
| Occupation | Mechanic |
| Address | 801 Brunswick Street, North Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Miss M Grey, 801 Brunswick Street, North Fitzroy, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on |
| Regimental number from Nominal Roll | 4204B |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
