| Regimental number | 4643 |
| Place of birth | Prahran Victoria |
| Religion | Church of England |
| Occupation | Painter |
| Address | Prahran, Victoria |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Mrs A Condon c/o Davies Estate Agency, Chapel Street, Prahran, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 52nd Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | St Kilda Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
