| Regimental number | 104 |
| Place of birth | Clermont Queensland |
| Religion | Church of England |
| Occupation | Salesman |
| Address | c/o Mrs A E North, Clermont, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mrs A E North, Clermont, Queensland |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 5th Company Army Service Corps, 1st Light Horse Brigade Train |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Omrah on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 14th Company, Australian Army Service Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
