| Regimental number | 5655 |
| Place of birth | Edlesborough England |
| Religion | Church of England |
| Occupation | Railway ganger |
| Address | Condinup via Dinninup, Western Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Jane Impye, Edlesborough, Dunstable, Bedfordshire, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A52 Surada on |
| Regimental number from Nominal Roll | 2655 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Garden of Remembrance, Western Australia |
| Date of death | |
| Age at death | 82 |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
