| Regimental number | 1887 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | 'Forrest House', St George's Terrace, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mrs Slark, Thundersley, South End, England |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 3, Battery 8 |
| AWM Embarkation Roll number | 13/31/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A7 Medic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
