| Regimental number | 4580 |
| Place of birth | Semaphore South Australia |
| Religion | Church of England |
| Occupation | Dredging department |
| Address | Robert Street, Sandwell, South Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs M C Staveley, Robert Street, Sandwell, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Centennial Park Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
