| Regimental number | 991 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Wilson Street, Horsham, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister, Mrs J B Head, Wilson Street, Horsham, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, D Company |
| AWM Embarkation Roll number | 23/38/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Date of death | |
| Place of burial | Springvale Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
