| Regimental number | 4021 |
| Place of birth | Beaconsfield, Tasmania |
| Religion | Church of England |
| Occupation | Sweater hand |
| Address | c/o Mrs W Burnill, Hunter Street, Queenstown, Tasmania |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs M Beams c/o Mrs W Bernol, Hunter Street, Queenstown, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *Given name John on NR |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
