| Regimental number | 3652 |
| Religion | Church of England |
| Occupation | Cook |
| Address | 127 Carlisle Street, Balaclava, Victoria |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Martha Griffiths, 127 Carlisle Street, Balaclava, Victoria |
| Enlistment date | 14 February 1917 |
| Rank on enlistment | Private |
| Unit name | 2nd Pioneer Battalion, Reinforcement 9 |
| AWM Embarkation Roll number | 14/14/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
