| Regimental number | 4106 |
| Religion | Presbyterian |
| Occupation | Cook |
| Address | c/o J Cullen, Knight Street, Hurstville, New South Wales |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, G Jordan, c/o J Cullen, Knight Street, Hurstville, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
