| Regimental number | 6289 |
| Place of birth | Northampton, Western Australia |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Northampton, Western Australia |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Mrs Isabella Shires, Northampton, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
