| Regimental number | 4640 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Cannon Hill, New Cleveland Road, South Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs. Kathleen May Ballam, Cannon Hill, New Cleveland Road, South Brisbane, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Place of enlistment | Brisbane, Queensland |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/48/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 31st Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | South Brisbane Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
