| Regimental number | 5330 |
| Religion | Church of England |
| Occupation | Grocer |
| Address | Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Lottie Balsdon, 124 Stirling Street, Perth, Western Australia |
| Enlistment date | 11 June 1915 |
| Rank on enlistment | Private |
| Unit name | AMC Convalescent Depot |
| AWM Embarkation Roll number | 26/84/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 14 July 1915 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A67 Orsova on 22 July 1915 |
| Miscellaneous details (Nominal Roll) | see other |
