
| Regimental number | 83 |
| Date of birth | |
| Place of birth | Brisbane, Queensland |
| Religion | Baptist |
| Occupation | School Teacher |
| Address | c/o Mrs Jacques, John Street, Albion, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mrs A T Kaye, Wallace Street, Breakfast Creek, Queensland |
| Enlistment date | |
| Place of enlistment | Brisbane, Queensland |
| Rank on enlistment | Private |
| Unit name | 5th Company Army Service Corps, 1st Light Horse Brigade Train |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Omrah on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | Australian Army Service Corps |
| Promotions |
2nd Lieutenant Unit: Mtd Div Train Promotion date: Lieutenant Unit: Mtd Div Train Promotion date: |
| Fate | Returned to Australia |