| Regimental number | 17991 |
| Place of birth | Bendigo, Victoria |
| Religion | Methodist |
| Occupation | Miner |
| Address | Boulder, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Friend, Mrs R Openshaw, 17 Salisbury Road, Boulder, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | May 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
