
| Regimental number | 4873 |
| Place of birth | Eaglehawk Victoria |
| Occupation | Miner |
| Address | Upper Road, California Gully, Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Sister, Mrs W Smith, Upper Road, California Gully, Bendigo, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia |
| Medals |
OBE Source: 'Commonwealth Gazette' No. 113 Date: |