| Regimental number | 655 |
| Religion | Methodist |
| Occupation | Seaman |
| Address | Gladstone Road, Albany, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Frances Green, Gladstone Road, Albany, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/28/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A11 Ascanius 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
