| Regimental number | 2005 |
| Religion | Presbyterian |
| Occupation | Herbalist |
| Address | c/o W Smith, 3O Raglan Street, Port Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs S Mentiplay, c/o Mrs H Cameron, Glananceville, Compton Street, Launceston, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/23/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Private |
| Date of death | |
| Place of burial | Coburg Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
