| Regimental number | 1512 |
| Place of birth | Bathurst, New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o E Blue, Clarice Street, Lithgow, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Verna Attwood, c/o E Blue, Clarice Street, Lithgow, New South Wales |
| Enlistment date | |
| Place of enlistment | Liverpool, New South Wales |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A49 Seang Choon on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Other details |
Did not embark. Listed as a deserter. |