| Regimental number | 2631 |
| Date of birth | |
| Place of birth | Brinningham, Norfolk, England |
| Religion | Church of England |
| Occupation | Wardsman |
| Address | Ararat, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs H Dack, Brinningham, Norfolk, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/39/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Ordnance Corps |
| Fate | Effective abroad (still overseas) |
| Discharge date | |
| Other details |
War service: Western Front Wounded in action in France on 23 July 1916 Returned to Australia on "Honigin Luise" |
| Date of death | |
| Age at death | 80 |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
