| Regimental number | 1238 |
| Religion | Church of England |
| Occupation | Mill hand |
| Address | Nanga Brook |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Hannah Jefferies, 135 Shelly Avenue, Manor Park, Colombo |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Stationary Hospital 2 |
| AWM Embarkation Roll number | 26/71/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A55 Kyarra 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
