| Regimental number | 2016 |
| Place of birth | Maitland New South Wales |
| Religion | Church of England |
| Occupation | Watchmaker and dental assistant |
| Address | High Street, West Maitland, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs C Storm, High Street, West Maitland, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Date of death | |
| Age at death | 75 |
| Place of burial | North Road Church of England Cemetery, Adelaide, South Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
