| Regimental number | 3990 |
| Place of birth | Melbourne Victoria |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | 658 Harris Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | friend, 658 Harris Street, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on |
| Regimental number from Nominal Roll | 3990A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
