| Regimental number | 9862 |
| Place of birth | Gisborne Victoria |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | Auburn, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs A Jones, 89 Victoria Road, Auburn, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Company 300, Reinforcement 16 |
| AWM Embarkation Roll number | 25/99/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | AMTC |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
