| Regimental number | 1777 |
| Religion | Methodist |
| Occupation | Carpenter |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Amelia Jacobson, Soudan Estate, Paddington, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | 301st (Mechanical Transport), 8th Company, Army Service Corps (17th Divisional Ammunition Park) |
| AWM Embarkation Roll number | 25/98/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
