| Regimental number | 4979 |
| Place of birth | Koroit, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Illowa PO, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Uncle, Mr T Douglas, Illowia PO, Victoria |
| Enlistment date | |
| Place of enlistment | Koroit, Victoria |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
