| Regimental number | 3796 |
| Religion | Church of England |
| Occupation | Tram labourer |
| Address | 222 Vic Road, Marrickville, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs E Heath, 222 Vic Road, Marrickville, Sydney, New South Wales |
| Enlistment date | 30 July 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Fate | No details of fate entered on Nominal Roll |
