| Regimental number | 3021 |
| Religion | Church of England |
| Occupation | Surveyor |
| Address | 20 Staniland Street, Elsternwick, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs J Fawkner, 20 Staniland Street, Elsternwick, Victoria |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | 5th Field Company Engineers |
| AWM Embarkation Roll number | 14/24/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic 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
