| Regimental number | 6764 |
| Religion | Methodist |
| Occupation | Soldier |
| Address | Northcote, Victoria |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Elizabeth Mary Eaton, 82 Railway Parade, Northcote, Victoria |
| Enlistment date | |
| Rank on enlistment | Sergeant |
| Unit name | 21st Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/38/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| 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
