| Regimental number | 2961 |
| Place of birth | Warracknabeal, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, J Withers, 49 Elizabeth Street, Melbourne, Victoria |
| Enlistment date | |
| Place of enlistment | Claremont, Tasmania |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata 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
