| Regimental number | 3404 |
| Place of birth | Tibooburra New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 'Ortona', Cobalt Street, Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Mrs Ethel Valentine Vickers, 'Ortona', Cobalt Street, Broken Hill, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/72/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
