| Regimental number | 2190 |
| Place of birth | Charters Towers Queensland |
| Religion | Church of England |
| Occupation | Miner |
| Address | 13 Shadforth Street, Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Friend, Mr James Hobson Turner, 13 Shadforth Street, Paddington, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/70/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A44 Vestalia on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
