| Regimental number | 642 |
| Religion | Church of England |
| Occupation | Chemist |
| Address | 9 Harold Road, Stanmore, New South Wales |
| Age at embarkation | 37 |
| Next of kin | Mrs C Cotten, 9 Harold Road, Stanmore, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, B Company |
| AWM Embarkation Roll number | 23/21/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides 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
