| Regimental number | 3397 |
| Place of birth | Suffolk England |
| Religion | Church of England |
| Occupation | Cook |
| Address | Williamstown, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Sister, Mrs Rose Pitteram, 62 Norfolk Road, Ipswich, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/75/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
