| Regimental number | 4726 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Mrs Olive Scott, 29 Moormead Villa, St Margaret-on-Thames, Twickenham, London, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
