| Place of birth | Carlisle England |
| Religion | Church of England |
| Occupation | Commerical representative |
| Address | Glen Currie, Kirribilli, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Ellen Bouchiere, Glen Currie, Kirribilli, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 18th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/35/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
