| Regimental number | 5075 |
| Place of birth | Burra South Australia |
| Religion | Methodist |
| Occupation | Baker |
| Address | St Peters, South Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs May Stella Symons, St Peters, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 13th Reinforcement |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board A45 Bulla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
