| Regimental number | 62771 |
| Place of birth | Roebourne, Western Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Northam, Western Australia |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs A Bergin, c/o Mrs T Gordon, 25 Chelmesford Road, Perth, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Western Australian Reinforcement 3 |
| AWM Embarkation Roll number | 23/111/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT Boonah 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
