| Regimental number | 12 |
| Date of birth | |
| Religion | Church of England |
| Occupation | Independent |
| Address | Belmont, Hornsby, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Blanche Jenkins, Belmont, Hornsby, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, D Company |
| AWM Embarkation Roll number | 23/37/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 20th Battalion |
| Promotions |
2nd Lieutenant Unit: INF20 Promotion date: |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
