| Regimental number | 1857 |
| Religion | Church of England |
| Occupation | Fireman, S.A.F.B. |
| Address | Fire Brigade, Port Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs. Ann Brown, Maitland Hotel, Yorke's Peninsula, South Australia |
| Enlistment date | 5 October 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/14/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
