| Regimental number | 58356 |
| Place of birth | Southport Queensland |
| Religion | Church of England |
| Occupation | Coach builder |
| Address | Charleville, Queensland |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs I S Klaas, 'Glanmire Road off Collingwood Street, Paddington, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 7 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema 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
