| Regimental number | 6403 |
| Religion | Church of England |
| Occupation | Nut and bolt worker |
| Address | Campsie, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs A E Witheridge, Staffordville Lincoln Street, Campsie, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/35/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
