| Regimental number | 4443 |
| Place of birth | Beaudesert Queensland |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | c/o Dr Page, Brunswick Street, New Farm Brunswick, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Sister, Mrs F M Poulsen, Kennedy Street, East Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 47th Battalion |
| Fate | Returned to Australia |
| Age at death from cemetery records | 29 |
| Place of burial | Toowong Cemetery, Queensland |
| Panel number, Roll of Honour, Australian War Memorial | 143 |