| Regimental number | 28124 |
| Place of birth | Uralla New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Rossmoyne, Glebe Island, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs J J Everett, Rossmoyne, Glebe Island, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 1, Reinforcement 21 |
| AWM Embarkation Roll number | 13/29/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
