| Regimental number | 3403 |
| Place of birth | Blaenan Wales |
| Religion | Church of England |
| Occupation | Wardsman |
| Address | North Shore, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Sister, Miss Gwen Mary Williams, Atherby Farm, Alderley Road,Tatten Hill, Wolverhampton, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/50/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne 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
