| Regimental number | 4436 |
| Place of birth | Tewantin Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Pie Creek, Gympie, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, Charles Impey, Pie Creek, Gympie, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/43/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A16 Star Of Victoria on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
