| Regimental number | 567 |
| Place of birth | Devonport England |
| Religion | Church of England |
| Occupation | Seaman |
| Address | McIlwraith Street, Childers, Queensland |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mrs Annie Bully, 41 Regent Street, Plymouth, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, E Company |
| AWM Embarkation Roll number | 23/26/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Transport A5 S.S. Omrah on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
