| Regimental number | R1040 |
| Religion | Church of England |
| Occupation | Storekeeper |
| Address | Darwin, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Elena Maud T Fawcett, 24 Milford Street, St Kilda, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 7, Reinforcement 11 |
| AWM Embarkation Roll number | 24/12/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Macgillivray on |
| Regimental number from Nominal Roll | 1040 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
