| Regimental number | 60002 |
| Place of birth | Clarence Town New South Wales |
| Religion | Congregational |
| Occupation | Clerk |
| Address | Mosman, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs M I Middenway, 29 Lang Street, Mosman, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 15 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Gaika on |
| Rank from Nominal Roll | Private |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
