| Regimental number | 3456 |
| Place of birth | Lithgow New South Wales |
| Religion | Church of England |
| Occupation | Fitter's labourer |
| Address | Paddington, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Maud Emma Owen, 28 Hopetoun Street, Paddington, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 56th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/73/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
