| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Mechanical engineer |
| Address | Pennant Hills Road, Thornleigh, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs L Waxman, Kinniel, Elizabeth Bay Road, Thornleigh, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | Light Trench Mortar Battery, Reinforcement 3 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 1-5 Division Light Trench Mortar Battery |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
