| Regimental number | 3562 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Western Creek, Chudleigh, Tasmania |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs A S Gurr, Western Creek Chudleigh, Tasmania |
| Enlistment date | 7 August 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 10 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |