| Regimental number | 6816 |
| Place of birth | Geelong Vic |
| Religion | Church of England |
| Occupation | Estate agent |
| Address | South Yarra, Victoria |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Mrs Gertie Moore, 29 Claremont Street, South Yarra, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/39/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
