| Regimental number | 4143 |
| Place of birth | Crumlin Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | c/o Sydney Williams, and Co., East Street, Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs. Amelia Elizabeth Walters, St. Julian's avenue, Newport, Montmouthshire, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/48/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 31st Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
