| Regimental number | 5429 |
| Place of birth | N/A New South Wales |
| Religion | Methodist |
| Occupation | Miner |
| Address | PO, Howard, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Friend, Mrs J Buffy, PO Howard, North Coast Line, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
