| Regimental number | 4879 |
| Religion | Methodist |
| Occupation | Driver |
| Address | Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs A J Webb, 271 Hampton Road, Beaconsfield, Fremantle, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on |
| Miscellaneous details (Nominal Roll) | see other |