WW1 DataTemplate

Surname:

Christian Names:

Date & Place of Birth:

Service Number:

Service Unit:

Date & Place of Enlistment:

Profession prior to Enlistment:

Date of Return to Aust. & Date of Discharge:

Nature of Casualty:

Date KIA:

Place KIA:

Died of Wounds:

Date Died of Wounds:

Place Died of Wounds:

Died of Injuries or disease:

Next of Kin (NOK) Address

Father:

Mother:

Brother(s):

Sister(s):

Other:

Service

Egypt:

Gallipoli:

France:

Other:

Campaign Medals:

Bravery Awards, Citations, MID:

If Died, Plaque & Scroll received by NOK:

Rank:

Kingscote Honour Board

Kingscote Monument

Penneshaw Honour Board

Penneshaw Memorial

KI Connection: