| Regimental number | 3774 |
| Place of birth | Bundarra New South Wales |
| Religion | Roman Catholic |
| Occupation | Blacksmith |
| Address | Bundarra, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs J Missen, Elm Cottage, Bundarra, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | ASCMT |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
