
| Regimental number | 802 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Striker |
| Address | 51 Belmore Street, Rozelle, New South Wales |
| Age at embarkation | 30 |
| Next of kin | Aunt, Myra Addis, 51 Belmore Street, Rozelle, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Naval & Military Expeditionary Force, 4th Tropical Unit, D Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Te Apua on |