| Regimental number | R4021 |
| Religion | Church of England |
| Occupation | Smelter hand |
| Address | 6th Queenstown, Tasmania |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs M Beams, 250 Brisbane Street, Launceston, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/29/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on |
| Regimental number from Nominal Roll | 4021 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *This is the second entry |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
