| Regimental number | 4795 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Port Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Eliza Ann Carriss, Wellington Street, Portland, Port Adelaide, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/44/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A60 Aeneas on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Died of wounds |
| Place of burial | Porte-de-Paris Cemetery (Plot I, Row A, Grave No. 18), Cambrai, France |
| Panel number, Roll of Honour, Australian War Memorial | 109 |
| 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
