| Regimental number | 57869 |
| Place of birth | Gatton Queensland |
| Religion | Presbyterian |
| Occupation | Carrier |
| Address | c/o Mrs I J Keller, Drayton Street, Nanango, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs I J Keller, Drayton Street, Nanango, Queensland |
| Previous military service | 4th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
