| Regimental number | 10O7 |
| Religion | Church of England |
| Occupation | Hotel employee |
| Address | 3 Havelock Street, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Miss E Cooke, 3 Havelock Street, Perth, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, G Company |
| AWM Embarkation Roll number | 23/29/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A7 Medic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
