| Regimental number | 4005 |
| Place of birth | Inverleigh, Victoria |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | Br Reginald Amiet, Kardella, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Mrs W Mitchell, Greensborough, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
