| Regimental number | 17233 |
| Religion | Church of England |
| Occupation | Storeman |
| Address | 126 West Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E Southwell, 126 West Street, North Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 4, Reinforcement 3 |
| AWM Embarkation Roll number | 25/92/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
