| Regimental number | 529 |
| Occupation | Groom |
| Address | 75 Marriott Street, Redfern, New South Wales |
| Next of kin | , 75 Marriott Street, Redfern, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | AN&MEF (Tropical Unit), E Company |
| AWM Embarkation Roll number | 23/112/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
