| Regimental number | 66040 |
| Religion | Church of England |
| Occupation | Window dresser |
| Address | Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs J Waller, 22 Goodhope Street, Paddington, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 16th to 27th (NSW) Reinforcement |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A41 Bakara on |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | 4th Bn |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
