| Regimental number | 1197 |
| Religion | Methodist |
| Occupation | Clerk |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Martha Fazackerly, 37 Fisher Gate Hill, Preston Lancashire, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/26/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
