| Regimental number | 1999 |
| Place of birth | Poplar England |
| Religion | Church of England |
| Occupation | Station cook |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mrs C H Mountain, 20 Sabbarton Street Poplar, London, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 5th Reinforcement |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on |