| Regimental number | 2169 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Insurance agent |
| Address | 6 Lothburg, London, Ec., England |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Sarah H Llewellyn, 23 Josephine avenue, Brixton Hill, London, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/39/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Division Headquarters |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
