| Regimental number | 456 |
| Religion | Methodist |
| Occupation | Station hand |
| Address | c/o Mrs C Martin, Ucolta, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Friend, Mrs C Martin, Ucolta, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, B Company |
| AWM Embarkation Roll number | 23/44/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A2 Geelong on |
| Miscellaneous details (Nominal Roll) | crossed out |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
