
| Regimental number | 1213 |
| Place of birth | Chistlehurst England |
| Religion | Church of England |
| Occupation | Bricklayer's Labourer |
| Address | c/o Mrs H Rose, 9 Gordon Place, Footscray, Kent, England |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs E Wilcox, c/o Mrs H Rose, 9 Gordon Place, Footscray, Kent, England |
| Enlistment date | |
| Rank on enlistment | DVR (AAMC) |
| Unit name | 4th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/21/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board TRANSPORT A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |