| Regimental number | 17300 |
| Religion | Roman Catholic |
| Occupation | Saddler |
| Address | C/o Mrs Simons, High Street, Marickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Mrs F Muddimar, 9 Castle View, Eton, Wicks, Windsor, London, England |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 1, Reinforcement 17 |
| AWM Embarkation Roll number | 13/29/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Field Artillery Brigade |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
