| Regimental number | 6403 |
| Place of birth | Geraldton Western Australia |
| Religion | Church of England |
| Occupation | Engineer |
| Address | Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Katherine E F Jose, 100 Parry Street, Perth, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Service Corps 16, Reinforcement 1 |
| AWM Embarkation Roll number | 25/104/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Australian Army Service Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
