| Regimental number | 374 |
| Place of birth | Rockhampton Queensland |
| Religion | Roman Catholic |
| Occupation | Platelayer |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | ..., Mrs J Smith, PO, Rockhampton, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, D Company |
| AWM Embarkation Roll number | 23/30/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Macquarie Park Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
