| Regimental number | 1095 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Miner |
| Address | c/o C T Osborne, Costerfield, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mrs Emma Ward, 72 Cambridge Street, Birmingham, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, B Company |
| AWM Embarkation Roll number | 23/22/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A3 Orvieto on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
