| Regimental number | 71 |
| Place of birth | Plymouth England |
| Religion | Methodist |
| Occupation | Student |
| Address | Parkville, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Aunt, Mrs M Couch, Roseland, St Germans, Cornwall, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Convalescent Depot, Harefield Park, London |
| AWM Embarkation Roll number | 26/84/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Mooltan 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
