| Place of birth | Bristol, England |
| Occupation | Accountant |
| Address | c/o J M Jefferson, 123 Sussex Street, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs R H Fairclough c/o M Jefferson, 123 Sussex Street, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 18th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *No reg no on either document |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
