| Regimental number | 5826 |
| Religion | Methodist |
| Occupation | Cook |
| Address | Leiwea, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Nellie Griggett, Fitzroy PO, Fitzroy, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |