| Regimental number | 1987 |
| Place of birth | Lobethal South Australia |
| Religion | Methodist |
| Occupation | Driver |
| Address | Box Hill, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Fred Roy, Forest Range, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 46th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/63/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on |