| Regimental number | ... |
| Religion | Methodist |
| Occupation | School teacher |
| Address | 184 Stirling Street, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs E Jeffrey, Tram Junction Boulder Road, Kalgoorlie, Western Australia |
| Enlistment date | |
| Rank on enlistment | Lieutenant |
| Unit name | 16th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A51 Chilka 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
