| Regimental number | 3772 |
| Place of birth | Mount Perry Queensland |
| Religion | Church of England |
| Occupation | Shop assistant |
| Address | Hensman Street, Mount Perry, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Emily Jane Brock, Hensman Street, Mount Perry, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/42/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT Wandilla on |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
