| Regimental number | 2017 |
| Place of birth | North Melbourne Victoria |
| Religion | Church of England |
| Occupation | Cellarman |
| Address | 92 Curzon Street, North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs V Purcell, 92 Curzon Street, North Melbourne, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| 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 |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 62 Date: |
| Date of death | |
| Place of burial | Frankston Cemetery |