| Regimental number | 4675 |
| Place of birth | West Maitland New South Wales |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Lismore, Richmond River, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Mrs Alice Cootes, 43 Edgecliffe Road, Woollahra, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/43/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Eastern Suburbs Memorial Park Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
