| Regimental number | 3774 |
| Place of birth | Muswellbrook New South Wales |
| Religion | Church of England |
| Occupation | Shop assistant |
| Address | Carl Street, Muswellbrook, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, G. Gill, Carl Street, Muswellbrook, New South Wales |
| Enlistment date | 16 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | a Dent Corps |
| Fate | Returned to Australia 1 June 1919 |
