| Regimental number | 879 |
| Place of birth | Hampshire, England |
| Religion | Church of England |
| Occupation | Engine driver |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Aunt, Mrs H A Curtis, 9 Maude Street, Kimberley, South Africa |
| Enlistment date | |
| Place of enlistment | Blackboy Hill, Western Australia |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, G Company |
| AWM Embarkation Roll number | 23/29/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A7 Medic on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 62 Date: |