| Regimental number | 1764 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Hayden, 126 Racecourse Road, Newmarket, Victoria |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Miss B Kelly, 25 Rae Street, North Fitzroy, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/25/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire 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
