| Regimental number | 3504 |
| Place of birth | Warrnambool Victoria |
| Religion | Roman Catholic |
| Occupation | Moulder |
| Address | Timor Street, Warrnambool, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/25/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Boxhill Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
