| Regimental number | 4321 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 156 Macquarie Street, Hobart, Tasmania |
| Marital status | Single |
| Next of kin | Sister, Mrs A Shaw, 73 Johnston Street, Annandale, Sydney, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
