| Regimental number | 2779 |
| Place of birth | At Sea |
| Occupation | Bushman |
| Address | St Ives, |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | , St Ives, |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 45th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/62/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Botany Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
