| Regimental number | 67972 |
| Place of birth | Birmingham ENGLAND |
| Religion | Church of England |
| Occupation | Coachbuilder and wheelwright |
| Address | Kendall Street, Clyde, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs E M Gazzard, Kendall Street, Clyde, New South Wales |
| Enlistment date | 2 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 27 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
