| Regimental number | 5687 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mittagong, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Friend, No relatives living, Mrs R Johnson, Fernbrook, New South Wales |
| Enlistment date | 9 December 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/36/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
