| Regimental number | 1479 |
| Place of birth | Mt Egerton Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | ..., Mrs B Hince, Sandstone, Western Australia |
| Enlistment date | 17 November 1914 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/33/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A50 Itonus on 22 February 1915 |
| Fate | No details of fate entered on Nominal Roll |