Rank: 
Sergeant
Service number: 
3053
Unit: 
10th Field Artillery Brigade
Location: 
Bellewaarde Lake, Belgium
Cheateau Wood, Potijze, Belgium
Menin Road, Ypres, Belgium
Passchendaele, Belgium
Date of Death: 
29 September 1917
Packet number: 
4167
Date range: 
1917-1918
SLSA record number: 
SRG 76/1/4167

From other sources

National Archives of Australia: 

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