| Regimental number | 4929 |
| Religion | Methodist |
| Occupation | Orchardist |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs E Page, Short Gate Rso, Sussex, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Medals |
Meritorious Service Medal Source: 'Commonwealth Gazette' No. 75 Date: |