| Regimental number | 564 |
| Place of birth | Suffolk England |
| Religion | Church of England |
| Occupation | Car and waggon examiner |
| Address | 3 Burnett Street, Redfern, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Rose Ethel Puttock, 253 Sydenham Road, Marrickville, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 5, Reinforcement 9 |
| AWM Embarkation Roll number | 24/10/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on |
| Regimental number from Nominal Roll | 564A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Machine Gun Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
