| Regimental number | 2082 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Tamworth, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Friend, Mrs Mary Jane Hedges, Mitchell Street, Stockton, Newcastle, New South Wales |
| Enlistment date | 15 December 1916 |
| Rank on enlistment | Private |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Karmala on 3 February 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
