| Regimental number | 636 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Columboola, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs A A Campbell, Columboola, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 4, Reinforcement 11 |
| AWM Embarkation Roll number | 24/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
