Rank: 
Private
Service number: 
7019
Unit: 
3rd Infantry Battalion
Location: 
Anzac House (German Blockhouse), Zonnebeke, Belgium
Anzac Ridge, Polygon Wood, Belgium
Associated with:
Packet number: 
7543
SLSA record number: 
SRG 76/1/7543

From other sources

National Archives of Australia: 

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