| Regimental number | 3911 |
| Place of birth | Wilson, South Australia |
| Religion | Church of England |
| Occupation | Miner |
| Address | Commonwealth Bank, Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 27 |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
