Rank: 
Private
Service number: 
2693
Unit: 
10th Infantry Battalion
Location: 
Anzac Ridge, Polygon Wood, Belgium
Ypres, Belgium
Date of Death: 
2 October 1917
Packet number: 
4747
Date range: 
1917-1918
SLSA record number: 
SRG 76/1/4747

From other sources

National Archives of Australia: 

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