| Regimental number | 4689 |
| Religion | Presbyterian |
| Occupation | Clerk |
| Address | 68 Maribyrnong Road, Moonee Ponds, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Janet Forest, 68 Maribyrnong Road, Moonee Ponds, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Lance Corporal |
| Unit name | 24th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, 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
