| Regimental number | 1364 |
| Place of birth | Ballarat Victoria |
| Religion | Presbyterian |
| Occupation | Machinery mechanic |
| Address | Streatham PO, Streatham, Victoria |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | S Cousen, Streatham PO, Streatham, Victoria |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 2, Brigade Ammunition Column |
| AWM Embarkation Roll number | 13/30/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A27 Southern on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
