| Regimental number | 5987 |
| Place of birth | Lara, Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Marshalltown near Geelong, Vic |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs C Broad, Marshalltown,near Geelong, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A28 Miltiades on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
