| Regimental number | 6782 |
| Place of birth | Redfern New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | Winsome Ave, Balgowlah, Manly, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs E Malm, Clavering, Frenchs Forest Road, Manly, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
