| Regimental number | 6508 |
| Place of birth | Yan Yean Victoria |
| Religion | Roman Catholic |
| Occupation | Leather worker |
| Address | 66 Carter Street, Albert Park, Victoria |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Ethel Gardiner, 62 Richardson Street, Albert Park, Victoria |
| Enlistment date | 31 January 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
