
| Regimental number | 4149 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Wagin, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs E Bailey, Warragul, Gippsland, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on |
| Fate | No details of fate entered on Nominal Roll |