| Regimental number | 272 |
| Place of birth | Cooktown Queensland |
| Religion | Church of England |
| Occupation | Miner |
| Address | Watsonville via Cairns, Queensland |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Mother, Mrs Ellen Roos, Watsonville via Cairns, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, A Company |
| AWM Embarkation Roll number | 23/58/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes 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
