| Regimental number | 5121 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Benchman |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Friend, Mrs E Williams, Noggerup, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
