| Regimental number | 5776 |
| Religion | Church of England |
| Occupation | Engineer |
| Address | 151 Phillips Street, Waterloo, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Friend, Miss Ethel Lane, Elizabeth Street, Zetland, New South Wales |
| Previous military service | 6th Australian Army Medical Corps |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 1, Reinforcement 14 |
| AWM Embarkation Roll number | 22/11/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
