| Regimental number | 1390 |
| Place of birth | Hennock England |
| Religion | Church of England |
| Occupation | Mason |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | ..., G Milton, Rose Mount, Kennock Devon, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/33/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
