| Regimental number | 51179 |
| Place of birth | Ballina New South Wales |
| Religion | Presbyterian |
| Occupation | Butter packer |
| Address | Casino, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, E Stavert, Barker Street, Casino, New South Wales |
| Previous military service | 12th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st to 15th (NSW) Reinforcements |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
