
| Regimental number | 2141 |
| Religion | Church of England |
| Occupation | Teamster |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Mrs Eliz Broadwith, 9 Landsdowne Road, Swindon, Wiltshire, England |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 3, Military District 5 |
| AWM Embarkation Roll number | 13/31/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A7 Medic on |
| Fate | No details of fate entered on Nominal Roll |