| Regimental number | 8164 |
| Religion | Church of England |
| Occupation | Coachbuilder |
| Address | Northcote, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, A Berry, 7 Johnson Street, Northcote, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital 1-6 Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Miscellaneous details (Nominal Roll) | see other |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
