| Regimental number | 2000 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Jackson Street, Casterton, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs Sarah Foster, Jackson Street, Casterton, Victoria |
| Enlistment date | 20 October 1916 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/60/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A35 Berrima on 16 December 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
