| Regimental number | 21254 |
| Place of birth | Queenscliff Victoria |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | East Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, R Martin, 7 Victoria Grove, East Brunswick, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | sea Transp Sec |
| Fate | Effective abroad (still overseas) |
| Date of death | |
| Place of burial | Brighton General Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
