| Regimental number | 200 |
| Place of birth | Surrey, England |
| Religion | Church of England |
| Occupation | Seaman |
| Address | c/o Mrs Kemp, Chalk Street, Wooloowin, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Height | 5' 6" |
| Weight | 154 lbs |
| Next of kin | Sister, Mrs Ruby Streek, 237 Railton Road, Herne Hill, London SE, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Able Bodied Sapper |
| Unit name | 1st Royal Australian Naval Bridging Train |
| AWM Embarkation Roll number | MIS34.12.1.RANBT1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board A39 Port Macquarie on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 5th Field Company Engineers |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
