| Regimental number | 2053 |
| Religion | Church of England |
| Occupation | Soldier |
| Address | Queens Hotel, Bendigo, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs V Teague, 37 Ormond Street, Paddington, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Sergeant |
| Unit name | 21st Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises 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
