| Regimental number | 4009 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 467 King Street, Newtown, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Mrs N Quinn, 467 King Street, Newtown, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 61st Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Newcastle Memorial Park Cemetery & Crematorium |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
