| Regimental number | 2637 |
| Place of birth | Condobolin New South Wales |
| Religion | Church of England |
| Occupation | Cook |
| Address | Winton, Queensland |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Sister, Mrs Ellen Black, 18 Bridge Street, West Maitland, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/58/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
