| Regimental number | 4821 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Clayton Street, Belle Vue, Western Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs S Paley, Northam, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Fate | No details of fate entered on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
