| Regimental number | 6515 |
| Place of birth | Blayney New South Wales |
| Religion | Roman Catholic |
| Occupation | Horse driver |
| Address | Hill Street, Blaney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | H Heavener, Hill Street, Blaney, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade Train 7, Company 17 |
| AWM Embarkation Roll number | 25/36/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
