| Regimental number | 1127 |
| Place of birth | Surrey, England |
| Religion | Church of England |
| Occupation | Horticulturist |
| Address | 248 Brighton Road, South Croydon Surrey, England |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | ..., Mrs Mary Smith, 248 Brighton Road, South Croydon Surrey, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Place of enlistment | Mildura, Victoria |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, C Company |
| AWM Embarkation Roll number | 23/38/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
