| Regimental number | 4490 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Peach Street, Dunellan, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs C R Fraser, Peach Street, Dunellan Estate, Brisbane, Queensland |
| Enlistment date | 13 September 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on 31 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
