| Regimental number | 4569 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Carter |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Aunt, MrsJ Clarke, 26 Rinaldo Street, Balham London, England |
| Enlistment date | |
| Place of enlistment | Brisbane, Queensland |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
