| Regimental number | 15628 |
| Place of birth | Scone New South Wales |
| Religion | Church of England |
| Occupation | Boot finisher |
| Address | 70 Rosehill Street, Redfern, New South Wales |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs W Wormleaton, 70 Rosehill Street, Redfern, New South Wales |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 11, Reinforcement 2 |
| AWM Embarkation Roll number | 13/38/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Rookwood Necropolis |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
