| Regimental number | 1004 |
| Religion | Church of England |
| Occupation | Engineer |
| Address | 14 Violet Grove, Hawthorn, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Mrs J B Taylor, 14 Violet Grove, Hawthorne, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, A Company |
| AWM Embarkation Roll number | 23/40/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides 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
