| Regimental number | 430 |
| Occupation | Foreman |
| Address | c/o P O Port Kembla, Port Kembla, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Naval & Military Expeditionary Force (Tropical Unit), C Company |
| AWM Embarkation Roll number | 23/112/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |