| Regimental number | 5996 |
| Place of birth | Tarnagulla, Victoria |
| Religion | Methodist |
| Occupation | Clerk |
| Address | Tarnagulla, Victoria |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Mother, Mrs M Cheetham, Tarnagulla, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 37th Battalion |
| Fate | Returned to Australia |
| 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
