| Regimental number | 66258 |
| Place of birth | Fulham England |
| Religion | Church of England |
| Occupation | Storeman |
| Address | Kogarah, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs P A C Poulton, Cross Street, Kogarah, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 20 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Zealandic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
