| Regimental number | 867 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Thames Street, Gilberton, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mrs Ellen Douglas, Thames Street, Gilberton, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, D Company |
| AWM Embarkation Roll number | 23/27/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board Transport A11 Ascanius 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
