| Regimental number | 5101 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 43 Neutral Street, North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs E A Gonwell, 43 Neutral Street, North Sydney, New South Wales |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 5 July 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |