| Regimental number | 53830 |
| Place of birth | Dubbo New South Wales |
| Religion | Presbyterian |
| Occupation | First aid instructor |
| Address | Balmain, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs E Watts, 199 Devonshire Street, Surry Hills, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 4 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 1st Divisional Ammunition Column |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
