| Regimental number | 1376 |
| Place of birth | Northam Western Australia |
| Religion | Church of England |
| Occupation | Farmer |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Mrs M Duggan, GPO, Midland Junction, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/28/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A50 Itonus on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Collie Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
