| Regimental number | 3821 |
| Place of birth | Berry New South Wales |
| Religion | Wesleyan |
| Occupation | Mill hand |
| Address | Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Alicia Gall, Berry, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/42/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT Wandilla on |