| Regimental number | 927 |
| Place of birth | Young New South Wales |
| Occupation | Student |
| Address | John Street, Lidcombe, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Colour SGT |
| Unit name | Naval and Military Expeditionary Force (Tropical Unit), D Company |
| AWM Embarkation Roll number | 23/112/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |
| Fate | No details of fate entered on Nominal Roll |