| Regimental number | ... |
| Religion | Baptist |
| Occupation | Telephone engineer |
| Address | 64 Woolwich Street, West Leederville, Western Australia |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs C L Dale, Lakeside, East Wagin, Western Australia |
| Enlistment date | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 11th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades 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
