| Regimental number | 1403 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Groom |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Robert Northard, 3 Pine Avenue, Marrickville, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/18/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A48 Seang Bee on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
