| Regimental number | 4622 |
| Place of birth | Forbes New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 4 Victoria Place, Paddington, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Mrs M Gray, 4 Victoria Place, Paddington, Sydney, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
