| Regimental number | 5250 |
| Religion | Church of England |
| Occupation | Miner |
| Address | Mount Lyell, Tasmania |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Brother-in-Law, W C Evens, Postal Official, Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | July 1916 Reinforcements |
| AWM Embarkation Roll number | 16/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on |
| Miscellaneous details (Nominal Roll) | see other page 1253 |