| Regimental number | 6136 |
| Place of birth | Guildford New South Wales |
| Religion | Baptist |
| Occupation | Engine cleaner |
| Address | Station Road, Auburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Janet Owen, Araluen Monomeith Street, Bexley, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/35/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 75 Date: |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
