| Regimental number | 9904 |
| Place of birth | Newcastle New South Wales |
| Religion | Roman Catholic |
| Occupation | Driver |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs May Fernyhough, 30 May Street, Armadale North, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes 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
