| Regimental number | 10621 |
| Place of birth | Melbourne Vic |
| Religion | Church of England |
| Occupation | Fireman, Vic Railways |
| Address | 19 Cassells Road, Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Charlotte Elizabeth Hitchcock, 19 Cassells Road, Brunswick, Victoria |
| Enlistment date | |
| Rank on enlistment | Corporal |
| Unit name | Divisional Signal Company 3 |
| AWM Embarkation Roll number | 22/13/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Corporal |
| 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
