| Regimental number | 5393 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Linesman |
| Address | Brighton Avenue, Croydon Park, New South Wales |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs Rebecca Jane Pilgrim, Brighton Avenue, Croydon Park, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/34/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Squadron, Australian Flying Corps |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Eastern Suburbs Memorial Park Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
