| Regimental number | 6477 |
| Place of birth | Toowoomba Queensland |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Lower East Street, Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Wm. Chas. Bates, Lower East Street, Rockhampton, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Driver |
| Unit name | Infantry Brigade Train 7, Company 17 |
| AWM Embarkation Roll number | 25/36/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Melbourne on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | No 10 Company, Australian Army Service Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
