| Regimental number | 16430 |
| Religion | Methodist |
| Occupation | Laboratory assistant |
| Address | Mortdale, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, A Freeman, Station Street, Mortdale, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on |
| Miscellaneous details (Nominal Roll) | see other |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
