| Regimental number | 643 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Kalangadoo, Mt Gambier, South Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Mrs T Pitcher, 23 Beckwith Street, Coburg, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, A Company |
| AWM Embarkation Roll number | 23/27/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board Transport A11 Ascanius on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Trench Mortar Battery |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
