| Regimental number | 6179 |
| Place of birth | Surrey, England |
| Religion | Church of England |
| Occupation | Gardener |
| Address | Mile End, South Australia |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Miss Ada Wood, 213 Campbell Buildings, Westminster, Bridge Road, London, England |
| Enlistment date | |
| Place of enlistment | Adelaide, South Australia |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Centennial Park Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
