| Regimental number | 5558 |
| Place of birth | Bournemouth England |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | 357 Sydney Road, Coburg, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Sarah Loose, Stockport, Cheshire, England |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Australian Reserve Park 1, Reinforcement 2 |
| AWM Embarkation Roll number | 25/34/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic 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
