| Regimental number | 57618 |
| Place of birth | Pittsworth Queensland |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Eve Street, Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, A Koch, Beirne Street, Toowoomba, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 4 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
