| Regimental number | 10017 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | 18 Mary Street, Waterloo, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mrs S Proberts, 18 Mary Street, Waterloo, New South Wales |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Reinforcement 13 |
| AWM Embarkation Roll number | 13/31/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 5th Division Medium Trench Mortar Battery |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
