| Regimental number | 1522 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Station House, Morgan, South Australia |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Mrs A B Bucknill, Station House, Morgan, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
