| Regimental number | 15782 |
| Place of birth | Ashfield New South Wales |
| Religion | Baptist |
| Occupation | Electrical apprentice |
| Address | Burwood, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Claire Ellen Selby, Elsie Street, Burwood, Sydney, New South Wales |
| Previous military service | NO 1 FORT COY Army Engineers |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 11th Field Company Engineers |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
