| Regimental number | 1677 |
| Religion | Church of England |
| Occupation | Fireman |
| Address | c/o Mrs Page, Stroud, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Furman, c/o Mrs Page, Stroud, New South Wales |
| Enlistment date | 12 May 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/42/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A60 Aeneas on 29 June 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
