| Regimental number | 5404 |
| Religion | Roman Catholic |
| Occupation | Fencer |
| Address | Railway Boarding House, South Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Brother, Mr H Jeffreys, Port Louis, Mauritius |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
