| Regimental number | 2417 |
| Place of birth | Mitcham South Australia |
| Religion | Church of England |
| Occupation | Cook |
| Address | Burra, South Australia |
| Marital status | Single |
| Age at embarkation | 43 |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 50th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/67/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A73 Commonwealth on |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *Unit unreadable |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
