| Regimental number | 5092 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Dulacca, Queensland |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Nil |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star Of Victoria on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |