| Regimental number | 1121 |
| Place of birth | Bathurst New South Wales |
| Religion | Roman Catholic |
| Occupation | Carriage and Wagon Examiner |
| Address | Spring Street, Eskbank, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs J Bassett, Spring Street, Eskbank, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 1 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Light Trench Mortar Battery |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
