| Regimental number | 4380 |
| Place of birth | Waratah Tasmania |
| Religion | Methodist |
| Occupation | Miner |
| Address | Rosehill, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs E Waters, 183 McKean Street, North Fitzroy, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
