| Regimental number | 4510 |
| Place of birth | Nelson New Zealand |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 101 Vic Street, Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Mrs W Stokes, Foxton Line, Palmerston North, New Zealand |
| Enlistment date | 27 October 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 8 February 1916 |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | Australian Army Pay Corps |
| Fate | Effective abroad (still overseas) |
