| Regimental number | 996 |
| Religion | Protestant |
| Occupation | Labourer |
| Address | Merrin Crescent, Wonthaggi, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | J Cornford, Merrin Crescent, Wonthaggi, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, B Company |
| AWM Embarkation Roll number | 23/24/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata 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
