| Regimental number | 636 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Last maker |
| Address | 59 Spensley Street, Clifton Hill, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Maggie Birmingham, 59 Spensley Street, Clifton Hill, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 6, Reinforcement 11 |
| AWM Embarkation Roll number | 24/11/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Macgillivray on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
