| Regimental number | 2176 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Mrs G Pike, Platt Street, Waratah, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Mrs Alice Wickham, 13 Highfield Street, Bath, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/47/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A70 Ballarat 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
