| Regimental number | 7015 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Yeppoon, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Step-Brother, H R Nissen, Yeppoon, Innisfail, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/42/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
