| Regimental number | 804 |
| Place of birth | Salt Lake City United States Of America |
| Religion | Church of England |
| Occupation | Chiropodist |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Wolsey, New York Dental College, New York, USA |
| Enlistment date | |
| Rank on enlistment | Lance Sergeant |
| Unit name | 3rd Battalion D Company |
| AWM Embarkation Roll number | 23/20/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides 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
