| Regimental number | 2905 |
| Place of birth | Geelong Victoria |
| Religion | Church of England |
| Occupation | Blacksmith's labourer |
| Address | Jugiory via Goulburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Sarah Fraser, 30 Kingston Road, Newtown, New South Wales |
| Enlistment date | 6 September 1916 |
| Rank on enlistment | Private |
| Unit name | 59th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/76/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on 3 November 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |