| Regimental number | 5421 |
| Place of birth | Bendigo Vic |
| Religion | Church of England |
| Occupation | Coachbuilder |
| Address | Macrae Street, Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | H.M. Horsley, 'La Perouse'. same address |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Divisional Train, 2nd and 3rd Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Company, Australian Army Service Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
