| Regimental number | 1629 |
| Religion | Church of England |
| Occupation | Chemist |
| Address | c/o Charles Baker, High Street, Knighton, Radnorshire, Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Uncle, Charles Baker, High Street, Knighton, Radnorshire, Wales |
| Enlistment date | 29 May 1915 |
| Rank on enlistment | Private |
| Unit name | AMC Convalescent Depot |
| AWM Embarkation Roll number | 26/84/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 14 July 1915 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A67 Orsova on 22 July 1915 |
| Miscellaneous details (Nominal Roll) | see other |
