
| Regimental number | 4438 |
| Religion | Church of England |
| Occupation | Baker |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Sister, Mrs Louisa Shaw, 215 Berlin Street, Burnley, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on |
| Fate | No details of fate entered on Nominal Roll |