| Regimental number | 5667 |
| Place of birth | Chatteris England |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | 88 Johnson Street, Annandale, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs M E Hazeldine, 33 Old Steine, Brighton, England |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | S.T25.98.2R4 |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 2nd Australian Motor Transport Service |
| Fate | Effective abroad (still overseas) |