| Regimental number | 21131 |
| Place of birth | Sandown England |
| Religion | Church of England |
| Occupation | Shop assistant |
| Address | Brighton, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Mary Southcott, Jetty Road, Brighton, South Australia |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | 1st to 5th Divisional Signal Companies and Signallers November 1917 Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 5th Divisional Signal Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
