| Regimental number | 6597 |
| Religion | Methodist |
| Occupation | Cellarman |
| Address | Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs A Jeffrey, 96 Bellgrave Street, Manly, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/45/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades 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
