| Regimental number | 4287 |
| Place of birth | Newtown New South Wales |
| Occupation | ... |
| Address | 519 King Street, Newtown, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | ... |
| Next of kin | Aunt, Mrs C Owen, 519 King Street, Newtown, Sydney, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Wentworth Falls Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
