| Regimental number | 676 |
| Religion | Church of England |
| Occupation | Boilermakers assistant |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Brother, E Pascall, Oak Avenue, Unley, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/27/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A15 Star Of England on |
| Miscellaneous details (Nominal Roll) | see other |