| Regimental number | 1664 |
| Place of birth | Sebastian Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Kirkwood Street, Eaglehawk, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Gertrude Waterman, 137 Kooyong Terrace, Ironbark, Bendigo, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Sergeant |
| 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
