| Regimental number | 6297 |
| Place of birth | Binic France |
| Religion | Roman Catholic |
| Occupation | Electrician |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Sister, Miss Mary Burlot, Binie, France |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Australian Army Service Corps 16th Company |
| AWM Embarkation Roll number | 25/104/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Division Train |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
