
| Regimental number | 1204 |
| Religion | Baptist |
| Occupation | Butcher |
| Address | Doncaster Avenue, "Bessieville", Kensington, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Margaret Wood, Ipswich, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, D Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Ceramic on |
| Fate | No details of fate entered on Nominal Roll |