
| Regimental number | 1354 |
| Religion | Church of Christ |
| Occupation | Labourer |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | ..., Mrs M Heale, Fletcher Road, Peterhead, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, F Company |
| AWM Embarkation Roll number | 23/33/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Troopship A40 Ceramic on |
| Fate | No details of fate entered on Nominal Roll |