
| Regimental number | 2004 |
| Place of birth | Leichhardt New South Wales |
| Religion | Church of England |
| Occupation | Orderman (timber) |
| Address | Nanama Glenfarne Street, West Kogarah, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, F Salisbury, Nanama Glenfarne Street, West Kogarah, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Imperial Camel Corps |
| Recommendations (Medals and Awards) |
Mention in Despatches Awarded, and promulgated, 'London Gazette', Supplement, No. 29845 (1 December 1916); 'Commonwealth Gazette' No. 62 (19 April 1919) |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 62 Date: |