| Regimental number | 204 |
| Place of birth | Geelong, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 253 Grant Street, South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mrs M Clark, 253 Grant Street, South Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, B Company |
| AWM Embarkation Roll number | 23/22/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A3 Orvieto on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 5th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 109 Date: |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
