| Regimental number | 4796 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Groom |
| Address | 1 Barker Street, South Kensington Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Mrs E Smith, 60 Bath Street, New Glenelg, Adelaide, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
