| Regimental number | 4561 |
| Place of birth | Melbourne, Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Argent Street, Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mrs M E Jacjson, Egan Street, Richmond, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
