| Regimental number | 3497 |
| Religion | Congregational |
| Occupation | Farmer |
| Address | Sandy Creek, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Elizabeth Gene, Sandy Creek, South Australia |
| Enlistment date | 31 August 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/44/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 12 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
