| Regimental number | 2110 |
| Place of birth | Geelong Victoria |
| Religion | Methodist |
| Occupation | Upholsterer |
| Address | c/o Mrs Rehenburg, Sparrowvale Farm, Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Guardian, Mrs Susan Chapman, c/o Mrs Rehenburg, Sparrowvale Farm, Geelong, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/46/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Miscellaneous details (Nominal Roll) | missing page |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
