| Regimental number | 3906 |
| Place of birth | Nimmitabel New South Wales |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Possum Creek, Bangalow, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs S Myers, Bangalow Creek, Bangalow, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Division Train |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
