
| Regimental number | 2964 |
| Place of birth | Middlesex England |
| Religion | Protestant |
| Occupation | Assistant cook |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Mrs L M Coombe, 12th Bengeworth Road, Camberwell, London, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/27/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A15 Star Of England on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 189 Date: |