| Regimental number | 5830 |
| Place of birth | Clarence River New South Wales |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Casino, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Cousin, Henry Samuel Bailey, Casino, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/43/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Divisional Salvage Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
