| Regimental number | 3330 |
| Place of birth | Glen Innes New South Wales |
| Religion | Church of England |
| Occupation | Salesman |
| Address | Tenterfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Aunt, A Loman, Douglas Street, Tenterfield, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/30/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Recommendations (Medals and Awards) |
Meritorious Service Medal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Meritorious Service Medal Source: 'Commonwealth Gazette' No. 113 Date: |