
| Regimental number | 66530 |
| Religion | Methodist |
| Occupation | Poultry farmer |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Guardian, Sydney Law Brown, 'Rawhiti', Shelley Street, Campsie, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 21 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on |