| Regimental number | 17 |
| Religion | Roman Catholic |
| Occupation | Grocer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Ellan Bergan, Cleveland, Queensland |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 41st Battalion, Headquarters |
| AWM Embarkation Roll number | 23/58/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes 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
