| Regimental number | 3722 |
| Place of birth | SA |
| Religion | Methodist |
| Occupation | Farm labourer |
| Address | Tickera via Kadina, South Australia |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Mrs E Johnson, Tickera via Kadina, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT RMS Malwa 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
