| Regimental number | 2254 |
| Religion | Church of England |
| Occupation | Driver |
| Address | 82 Lennox Street, North Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Mrs Bresnatian, 82 Lennox Street, North Richmond, Melbourne, Victoria |
| Enlistment date | 3 January 1917 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/41/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 4 August 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
