| Regimental number | 4017 |
| Place of birth | Lancashire England |
| Religion | Methodist |
| Occupation | Gas fitter |
| Address | 109 Glenmore Road, Paddington, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs C Whitehead, 88 Eaton Avenue, off Dawforth Avenue, Toronto, Ontario, Canada |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/18/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Mooltan on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
