| Regimental number | 683 |
| Place of birth | Orange River Colony South Africa |
| Religion | Church of England |
| Occupation | Surveyor |
| Address | c/o Mrs E A Rose, Dryfe House Orange Street, Capetown, South Africa |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs E Rose, Philippolis, Orange River Colony, South Africa |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, B Company |
| AWM Embarkation Roll number | 23/34/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
