| Regimental number | 5217 |
| Place of birth | Beverley Western Australia |
| Religion | Church of England |
| Occupation | Mill hand |
| Address | Borehin Street, Cottesloe, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, A Slape, Albany Road, Cannington, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Karrakatta Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
