| Regimental number | 2650 |
| Place of birth | Bath England |
| Religion | Church of England |
| Occupation | Motor driver |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Sister, Mrs A Shackell, 50 Brooklyn Road, Bath, Somerset, England; Also Mrs Gilbert, 38 Caroline Street, South Yarra, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Makarini on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st D M T S |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
