| Regimental number | 6503 |
| Place of birth | Maryborough Queensland |
| Religion | Church of England |
| Occupation | Horsebreaker |
| Address | Sharon, via Bundaberg, Queensland |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mrs S Fagg, Sharon, via Bundaberg, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Driver |
| Unit name | Infantry Brigade Train 7, Company 17 |
| AWM Embarkation Roll number | 25/36/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Melbourne on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 17th Company, Australian Army Service Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
