| Regimental number | 16430 |
| Religion | Methodist |
| Occupation | Laboratory assistant |
| Address | Mortdale, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, A Freeman, Station Street, Mortdale, New South Wales |
| Enlistment date | 1 September 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 14 September 1918 |
| Miscellaneous details (Nominal Roll) | see other |
