| Regimental number | 12996 |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Friend, Miss L Jacob, 97 Leicester Street, Fitzroy, Victoria |
| Enlistment date | |
| Rank on enlistment | Motor Transport Driver |
| Unit name | Army Service Corps, October 1916 Reinforcements |
| AWM Embarkation Roll number | 25/99/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st A S Brigade Ammunition Column |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 9 Date: |
| Miscellaneous details | Name does not appear on Embarkation Roll. |
| Date of death | |
| Place of burial | Fawkner Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
