| Regimental number | 515 |
| Place of birth | Widness England |
| Occupation | Crane driver |
| Address | 280 Crown Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | AN&MEF (Tropical Unit), E Company |
| AWM Embarkation Roll number | 23/112/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Private |