| Regimental number | 67348 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Brewery hand |
| Address | 'Nellieville', Lidcombe Road, Bankstown, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs P Chicken, 'Nellieville', Lidcombe Road, Bankstown, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 25 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on |
| Fate | No details of fate entered on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
