| Regimental number | 4786 |
| Place of birth | Collingwood Victoria |
| Religion | Methodist |
| Occupation | Storeman |
| Address | 19 Beaconsfield Street, Northcote, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Aunt, Mrs Woolhouse, 19 Beaconsfield Street, Northcote, Melbourne, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Lance Sergeant |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
