| Regimental number | 258 |
| Occupation | Traveller |
| Next of kin | c/o Morgan Fords, Leichhardt, New South Wales |
| Enlistment date | |
| Unit name | Australian Naval & Military Expeditionary Force (Tropical Unit), B Company |
| AWM Embarkation Roll number | 23/112/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |