| Regimental number | 54148 |
| Place of birth | Burton-on-Trent, England |
| Religion | Church of England |
| Occupation | Groom |
| Address | Gunnedah, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs M Bird, Park Lane, Gunnedah, New South Wales |
| Enlistment date | |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | 6th General Service Reinforcements (New South Wales) |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on |
| Fate | No details of fate entered on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
