| Regimental number | 2119 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | ... |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Jessie Gillen, 276 Hanna Street, South Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/33/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda 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
