| Regimental number | 67391 |
| Place of birth | Singleton New South Wales |
| Religion | Methodist |
| Occupation | Engineer's apprentice |
| Address | Pyre Road, Artarmon, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Sister, Miss M Glass, Pyre Road, Artarmon, New South Wales |
| Previous military service | 5th Battalion 17th Infantry |
| Enlistment date | 27 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 25 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
