| Regimental number | 8039 |
| Religion | Church of England |
| Occupation | Moulder |
| Address | North Hobart, Tasmania |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs I P Prere, 3 King Street, North Hobart, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 27th Reinforcement |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |