| Regimental number | 6412 |
| Place of birth | Melbourne Victoria |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Lithgow, New South Wales |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Friend, A Kelly, Club House Hotel, Lithgow, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/36/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board A29 Suevic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
