| Regimental number | 264 |
| Place of birth | Malvern Vic |
| Religion | Church of England |
| Occupation | Stableman |
| Address | Beach Road, Mentone |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Emily Hay, Beach Road, Mentone |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, A Company |
| AWM Embarkation Roll number | 23/46/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Corps Signal Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
