| Regimental number | 776 |
| Place of birth | Sunny Corner New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Sunny Corner, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Caroline Withers, Sunny Corner, via Rydal, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Tropical Force, Australian Naval & Military Expeditionary Force |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Te-Anau on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Date of death | |
| Place of burial | Capertee Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
