| Regimental number | 1069 |
| Place of birth | Pen-y-graig Wales |
| Religion | Church of England |
| Occupation | Cook |
| Address | 268 Angus Street, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Elizabeth Montroy, 268 Angus Street, Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Naval and Military Expeditionary Force (Tropical Unit), D Company |
| AWM Embarkation Roll number | 23/112/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Private |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
