| Regimental number | 3333 |
| Religion | Church of England |
| Occupation | Shearer |
| Address | Gongolgon, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Sister, Mrs Sarah Butler, Pitt Road, Bulli, South Coast, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 34th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/51/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne on |
| Miscellaneous details (Nominal Roll) | Crossed out on N.R. |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
