
| Regimental number | 484 |
| Place of birth | Yamworth England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o R H Jarivs, Arygle Street, Mossvale, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Rose Ann Key, 26 Burnt Lane, Gorleston, Suffolk, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, B Company |
| AWM Embarkation Roll number | 23/53/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Rank from Nominal Roll | Company Sergeant Major |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 95 Date: |