| Regimental number | 2404 |
| Place of birth | Mersey Tasmania |
| Religion | Church of England |
| Occupation | Miner |
| Address | Fimiston, Western Australia |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Friend, A Balfour, c/o Boulder, Per Mine, Fimiston, Western Australia |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Mining Corps Reinforcement 2 |
| AWM Embarkation Roll number | 16/7/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star Of Victoria on |
| Regimental number from Nominal Roll | 23404 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
