| Regimental number | 1804 |
| Place of birth | Port Pirie South Australia |
| Religion | Methodist |
| Occupation | Dental mechanic |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Margaret Helen Randle, Hewitt Avenue, Rose Park, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 32nd Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/49/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on |