| Regimental number | 4094 |
| Place of birth | Walkeringa, South Australia |
| Religion | Baptist |
| Occupation | Plumber |
| Address | Victoria Street, Korumburra, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Margaret Muriel Date, Victoria Street, Korumburra, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Corps Cyclists' Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
