| Regimental number | 4025 |
| Place of birth | Mt Egerton Victoria |
| Religion | Methodist |
| Occupation | Miner |
| Address | GPO Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Mrs M Williams c/o Mrs Campton, Tanui Carson Road, Dulwich, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A31 Ajana on |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
